Individual provider · Type 1 NPI

Michael Ashby Sullivan

Massage Therapist · Stafford, VA

NPI number 1972114882 Active

Practice location

2152 Jefferson Davis Hwy
Stafford, VA 22554-7273

Call (540) 751-8750 Map

Mailing address

5 Baldwin Dr
Fredericksburg, VA 22406-6264

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X0019012217 (VA)

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 1972114882

Michael Ashby Sullivan's National Provider Identifier is 1972114882, issued on Aug 13, 2020. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Stafford, VA. The record was last updated on Aug 13, 2020.