Provider Demographics
NPI:1487838371
Name:LIVINGSTONE, RACHEL (ATC)
Entity Type:Individual
Prefix:MS
First Name:RACHEL
Middle Name:
Last Name:LIVINGSTONE
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:920 PINOT NOIR WAY
Mailing Address - Street 2:
Mailing Address - City:WINDSOR
Mailing Address - State:CA
Mailing Address - Zip Code:95492-9682
Mailing Address - Country:US
Mailing Address - Phone:707-479-1189
Mailing Address - Fax:707-836-1933
Practice Address - Street 1:920 PINOT NOIR WAY
Practice Address - Street 2:
Practice Address - City:WINDSOR
Practice Address - State:CA
Practice Address - Zip Code:95492-9682
Practice Address - Country:US
Practice Address - Phone:707-479-1189
Practice Address - Fax:707-836-1933
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-27
Last Update Date:2007-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA2255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer