Provider Demographics
NPI:1740048172
Name:LEVITSKY, OLIVIA (LMT)
Entity type:Individual
Prefix:
First Name:OLIVIA
Middle Name:
Last Name:LEVITSKY
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1900 BAUMANS RD
Mailing Address - Street 2:
Mailing Address - City:QUAKERTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18951-2178
Mailing Address - Country:US
Mailing Address - Phone:215-272-6212
Mailing Address - Fax:
Practice Address - Street 1:1900 BAUMANS RD
Practice Address - Street 2:
Practice Address - City:QUAKERTOWN
Practice Address - State:PA
Practice Address - Zip Code:18951-2178
Practice Address - Country:US
Practice Address - Phone:215-272-6212
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-11
Last Update Date:2024-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMSG014540225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist