Individual provider · Type 1 NPI

Kimberly Sullivan, LMT

Massage Therapist · Jacksonville, FL

NPI number 1871896142 Active

Practice location

7860 Gate Pkwy Ste 105
Jacksonville, FL 32256-7280

Call (904) 998-0444 Map

Mailing address

7651 Gate Pkwy Apt 506
Jacksonville, FL 32256-4802

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA 30055 (FL)

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 1871896142

Kimberly Sullivan, LMT's National Provider Identifier is 1871896142, issued on Dec 8, 2010. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Jacksonville, FL. The record was last updated on Dec 8, 2010.