Individual provider · Type 1 NPI

Rosemary Sullivan

Massage Therapist · Portland, OR

NPI number 1972335768 Active

Practice location

1540 SE Clinton St
Portland, OR 97202-1130

Mailing address

5329 NE 15th Ave
Portland, OR 97211-4990

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X28292 (OR)

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 1972335768

Rosemary Sullivan's National Provider Identifier is 1972335768, issued on Aug 19, 2024. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Aug 19, 2024.