Individual provider · Type 1 NPI
Carol Sullivan, CASE MANAGER
Massage Therapist · Las Cruces, NM
NPI number
1629324017
Active
Practice location
602 Weinrich Rd Trlr 6
Las Cruces, NM 88007-4857
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | MT8614 (NM) |
| Mechanotherapist | 172M00000X | MT8614 (NM) |
| Reflexologist | 173C00000X | MT8614 (NM) |
| Massage Therapist Primary | 225700000X | MT8614 (NM) |
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.
Another provider at this address
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About NPI 1629324017
Carol Sullivan, CASE MANAGER's National Provider Identifier is 1629324017, issued on Aug 3, 2012. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Las Cruces, NM. The record was last updated on Jan 30, 2019.