Individual provider · Type 1 NPI

Sara Camille Sullivan, RN, LMT

Massage Therapist · Lonoke, AR

NPI number 1831940634 Active

Practice location

20 Ponderosa Dr
Lonoke, AR 72086-3603

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000XR88651 (AR)
Registered Nurse 163W00000XRN95310083 (CA)
Massage Therapist Primary 225700000X7055 (AR)

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 1831940634

Sara Camille Sullivan, RN, LMT's National Provider Identifier is 1831940634, issued on Mar 29, 2024. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Lonoke, AR. The record was last updated on Mar 29, 2024.