Individual provider · Type 1 NPI

Lillian Marie Sullivan, LMT

Massage Therapist · Anchorage, AK

NPI number 1831612159 Active

Practice location

3801 Lake Otis Pkwy Ste 300
Anchorage, AK 99508

Fax (907) 563-3460

Other practice locations

  • 12570 Old Seward Hwy Ste 101, Anchorage, AK 99515-3532 · (907) 333-3535

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X121825 (AK)

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 1831612159

Lillian Marie Sullivan, LMT's National Provider Identifier is 1831612159, issued on Jul 18, 2017. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Anchorage, AK. The record was last updated on Jan 3, 2019.