Individual provider · Type 1 NPI

Susan M. Sullivan, L.M.T.

Massage Therapist · Williamsville, NY

NPI number 1124382700 Active

Practice location

8655 Main St
Williamsville, NY 14221-7501

Call (716) 807-5228 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X010290-1 (NY)

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 1124382700

Susan M. Sullivan, L.M.T.'s National Provider Identifier is 1124382700, issued on Jun 28, 2012. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Williamsville, NY. The record was last updated on Jan 9, 2015.