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

Mrs. Misty Ann Lively, PTA

Individual provider Physical Therapy Assistant · NPI 1689816514

Mrs. Misty Ann Lively, PTA is a Physical Therapy Assistant in Oak Harbor, Washington. Practices as a sole proprietor. Licensed in Washington.

Licensed in
WA
In the registry since
2009
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

See every abbreviation used in this directory →

Practice location Address checks out

1040 SW Kimball Dr
Oak Harbor, WA 98277-7593
Phone: (360) 675-8405
Show map & directions

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

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence P1 60059910 (WA)

Record details

NPI number1689816514
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorYes
NPI enumeratedMarch 24, 2009
Last updated in NPPESSeptember 26, 2011

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