NPI 1003172438

Brian Keith Sullivan, MT

Practitioner Massage Therapist Murrayville, GA

Practice location

Address: 326 Starbridge Rd, Murrayville, GA 30564-2817
Phone: (706) 265-9530
Fax: (706) 867-7969
Mailing address: 396 Starbridge Rd, Murrayville, GA 30564-2817

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence MT005008 (GA)

Other Massage Therapist providers in Georgia →

Registry record

NPI: 1003172438
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Apr 2012
Record last updated: 10 Apr 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.