MEDICARE: LIVWELL, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261Q00000X	Clinic/Center

General Provider Information

NPI Number	:	1649121203
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LIVWELL, PLLC

Provider Business Mailing Address
First Line	:	3584 S SPENCER BLVD
Second Line	:
City	:	SIOUX FALLS
State	:	SD
Zip	:	57103-4632
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3584 S SPENCER BLVD
Second Line	:
City	:	SIOUX FALLS
State	:	SD
Zip	:	57103-4632
Country	:	US
Telephone Number	:	605-520-4736
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	KACIE GITTINGS
Credential	:	CNP
Telephone Number	:	605-520-4736

Provider Enumeration Date	:	02/09/2026
Last Update Date	:	02/09/2026

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Directions to “LIVWELL, PLLC ” Practice Location

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