Provider Demographics
NPI:1790555134
Name:LIVERETT, HANNAH (DC)
Entity Type:Individual
Prefix:DR
First Name:HANNAH
Middle Name:
Last Name:LIVERETT
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:131 4TH AVE W STE 212
Mailing Address - Street 2:
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28792-4361
Mailing Address - Country:US
Mailing Address - Phone:828-214-5137
Mailing Address - Fax:
Practice Address - Street 1:131 4TH AVE W STE 212
Practice Address - Street 2:
Practice Address - City:HENDERSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28792-4361
Practice Address - Country:US
Practice Address - Phone:828-214-5137
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-08
Last Update Date:2024-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5495111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor