Individual provider · Type 1 NPI

Jessica L. Sullivan, LMT

Massage Therapist · Olympia, WA

NPI number 1740440379 Active

Practice location

3015 Limited Ln NW, Ste B
Olympia, WA 98502-2638

Call (360) 709-0700 Map

Fax (360) 709-0703

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA60590036 (WA)

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 1740440379

Jessica L. Sullivan, LMT's National Provider Identifier is 1740440379, issued on Jun 17, 2008. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Olympia, WA. The record was last updated on Jan 25, 2016.