Individual provider · Type 1 NPI
Jane Sylvia Sullivan
Massage Therapist · Portland, OR
NPI number
1255809919
Active
Practice location
909 N Beech St Ste 201
Portland, OR 97227-1115
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 1255809919
Jane Sylvia Sullivan's National Provider Identifier is 1255809919, issued on Nov 10, 2018. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Nov 10, 2018.