CLEMENTINE YALONDA SULLIVAN NPI 1134584998

NPI Information

NPI: 1134584998
Provider Name: CLEMENTINE YALONDA SULLIVAN
Classification: Massage Therapist - 225700000X
Entity Type: Individual
Address:
151 E METRO DR STE 203
FLOWOOD, MS
ZIP 39232
Phone: (601) 382-8337
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Clementine Yalonda Sullivan is a massage therapist in Flowood, MS. 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. Clementine Yalonda Sullivan NPI is 1134584998. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

151 E METRO DR STE 203
FLOWOOD, MS
ZIP 39232-405
Phone: (601) 382-8337

The enumeration date for this NPI number is 12/22/2015 and was last updated on 7/21/2022.

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		1928	MISSISSIPPI	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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