Individual provider · Type 1 NPI

Justin Lee Sullivan I

Massage Therapist · Gastonia, NC

NPI number 1629957980 Active

Practice location

1020 Holly Hills Dr
Gastonia, NC 28052-9421

Call (704) 600-7223 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X16911 (NC)

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 1629957980

Justin Lee Sullivan I's National Provider Identifier is 1629957980, issued on Aug 30, 2025. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Gastonia, NC. The record was last updated on Aug 30, 2025.