Individual provider · Type 1 NPI

Levi Austin Destafano

Electroneurodiagnostic Specialist/Technologist · Auburn, AL

NPI number 1497617815 Active

Practice location

1561 Grove Hill Rd
Auburn, AL 36830-7544

Mailing address

20000 E Fort Mcpherson Rd
Maxwell, NE 69151-1032

Specialties and licenses

TaxonomyCodeLicense
Electroneurodiagnostic Specialist/Technologist Primary 246ZE0600XNone listed

Electroneurodiagnostic Specialist/Technologist: Definition to come...

2 other providers at this address

About NPI 1497617815

Levi Austin Destafano's National Provider Identifier is 1497617815, issued on Nov 25, 2025. The primary taxonomy on file is Electroneurodiagnostic Specialist/Technologist (246ZE0600X), and the practice location is in Auburn, AL. The record was last updated on Nov 25, 2025.