Provider Demographics
NPI:1710714126
Name:LIVINGSTON, COURTNEY SCHUYLER (PT, DPT)
Entity type:Individual
Prefix:DR
First Name:COURTNEY
Middle Name:SCHUYLER
Last Name:LIVINGSTON
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2240 N CLAY ST UNIT 402
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80211-5192
Mailing Address - Country:US
Mailing Address - Phone:781-622-8145
Mailing Address - Fax:
Practice Address - Street 1:1525 RALEIGH ST STE 210
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80204-1497
Practice Address - Country:US
Practice Address - Phone:303-458-9660
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-18
Last Update Date:2024-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0018737225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist