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

Savannah Nicole Livesay

Individual provider Occupational Therapist · NPI 1902674260

Savannah Nicole Livesay is an Occupational Therapist in Kingsport, Tennessee. Licensed in Tennessee. Registered with an NPI since 2023.

Licensed in
TN
In the registry since
2023
Specialties on file
2

Practice location Address checks out

5048 Lake Forest Dr
Kingsport, TN 37663-3714
Phone: (423) 676-9400
Show map & directions

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

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 6220 (TN)
Occupational Therapist Taxonomy 225X00000X

Record details

NPI number1902674260
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 15, 2023
Last updated in NPPESDecember 15, 2023
Certification dateDecember 15, 2023

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