Individual provider · Type 1 NPI

David Sullivan, LMT

Massage Therapist · Medford, OR

NPI number 1154856987 Active

Practice location

100 N Grape St Apt 303
Medford, OR 97501-3151

Call (718) 825-7245 Map

Mailing address

2503 Saratoga St
Ashland, OR 97520-1892

Other practice locations

  • 550 Siskiyou Blvd, Ashland, OR 97520-2138 · (541) 488-6757

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X22561 (OR)

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 1154856987

David Sullivan, LMT's National Provider Identifier is 1154856987, issued on Apr 30, 2017. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Medford, OR. The record was last updated on Oct 29, 2019.