TRAVIS LIVINGSTON

JACKSON, TN
NPI1801411186
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: TN  1189)
Enumeration Date2020-06-11
Last Update Date2020-06-11
Business Address
TRAVIS LIVINGSTON AT
1378 UNION UNIVERSITY DR
JACKSON, TN 38305-3780
Phone number: 731-664-7060
Mailing Address
TRAVIS LIVINGSTON AT
1804 HIGHWAY 45 BYP STE 604
JACKSON, TN 38305-4403
Phone number: 731-660-7971