Individual provider · Type 1 NPI

Stephanie E. Sullivan, LMT

Massage Therapist · Louisville, KY

NPI number 1861968356 Active

Practice location

1301 Herr Ln
Louisville, KY 40222-4388

Call (502) 240-8804 Map

Mailing address

9909 Whipps Mill Rd
Louisville, KY 40223-1107

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XKY-4996 (KY)

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 1861968356

Stephanie E. Sullivan, LMT's National Provider Identifier is 1861968356, issued on Oct 23, 2018. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Louisville, KY. The record was last updated on Oct 23, 2018.