Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ethan Jay Livingston

Individual provider Physical Therapist · NPI 1649852690

Ethan Jay Livingston is a Physical Therapist in Mill Creek, Washington. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

16310 Bothell Everett Hwy Ste C
Mill Creek, WA 98012-1284
Phone: (425) 582-5526
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1649852690
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 28, 2021
Last updated in NPPESApril 28, 2021
Certification dateApril 28, 2021
Mailing address790 Remington Blvd, Bolingbrook, IL 60440-4909

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