Individual provider · Type 1 NPI
Lisa Meghan Sullivan, M.T.
Massage Therapist · St. Paul, MN
NPI number
1083874127
Active
Practice location
1640 Selby Ave Apt 6
St. Paul, MN 55104-7379
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | None listed |
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.
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About NPI 1083874127
Lisa Meghan Sullivan, M.T.'s National Provider Identifier is 1083874127, issued on Jun 12, 2008. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in St. Paul, MN. The record was last updated on Jun 12, 2008.