MISS ANDREA MARIE SULLIVAN ANDREA SULLIVAN NPI 1619297694

NPI Information

NPI: 1619297694
Provider Name: MISS ANDREA MARIE SULLIVAN, ANDREA SULLIVAN
Classification: Massage Therapist - 225700000X
Entity Type: Individual
Address:
2150 SAINT ANTHONY AVE
SAINT PAUL, MN
ZIP 55104
Phone: (651) 230-1629
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MISS Andrea Marie Sullivan, ANDREA SULLIVAN is a massage therapist in Saint Paul, MN. 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. MISS Andrea Marie Sullivan, ANDREA SULLIVAN NPI is 1619297694. 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:

2150 SAINT ANTHONY AVE
SAINT PAUL, MN
ZIP 55104-029
Phone: (651) 230-1629

The enumeration date for this NPI number is 6/1/2010 and was last updated on 6/1/2010.

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		20090000761	MINNESOTA	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: 11/14/2023

NPI Synchronization or Removal

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