MATTHEW LIVERMORE

CHUBBUCK, ID
NPI1285209676
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: ID  PT-7242)
Enumeration Date2021-05-26
Last Update Date2021-05-26
Business Address
MATTHEW LIVERMORE DPT
4922 YELLOWSTONE AVE STE K
CHUBBUCK, ID 83202-2360
Phone number: 208-237-1882
Mailing Address
MATTHEW LIVERMORE DPT
8945 N DEWALL LN
POCATELLO, ID 83201-9025
Phone number: