Individual provider · Type 1 NPI

Laurie Ann Sullivan, LMT

Massage Therapist · West Linn, OR

NPI number 1831407659 Active

Practice location

21860 Willamette Dr
West Linn, OR 97068-3256

Call (503) 650-0696 Map

Mailing address

2310 SE 147th Ave
Portland, OR 97233-2723

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X11522 (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 1831407659

Laurie Ann Sullivan, LMT's National Provider Identifier is 1831407659, issued on Sep 14, 2010. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in West Linn, OR. The record was last updated on Sep 14, 2010.