Individual provider · Type 1 NPI
Brian Keith Sullivan, MT
Massage Therapist · Murrayville, GA
NPI number
1003172438
Active
Practice location
326 Starbridge Rd
Murrayville, GA 30564-2817
Fax (706) 867-7969
Mailing address
396 Starbridge Rd
Murrayville, GA 30564-2817
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MT005008 (GA) |
Massage Therapist: 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.
2 other providers at this address
About NPI 1003172438
Brian Keith Sullivan, MT's National Provider Identifier is 1003172438, issued on Apr 10, 2012. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Murrayville, GA. The record was last updated on Apr 10, 2012.