MR. DAVID SULLIVAN LMT NPI 1154856987

NPI Information

NPI: 1154856987
Provider Name: MR. DAVID SULLIVAN, LMT
Classification: Massage Therapist - 225700000X
Entity Type: Individual
Address:
100 N GRAPE ST APT 303
MEDFORD, OR
ZIP 97501
Phone: (718) 825-7245
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MR. David Sullivan, LMT is a massage therapist in Medford, OR. The provider is an individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. MR. David Sullivan, LMT NPI is 1154856987. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

100 N GRAPE ST APT 303
MEDFORD, OR
ZIP 97501-151
Phone: (718) 825-7245

The enumeration date for this NPI number is 4/30/2017 and was last updated on 10/29/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	225700000X	Massage Therapist		22561	OREGON	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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