NPI 1083874127

Lisa Meghan Sullivan, MT

Practitioner Massage Therapist Saint Paul, MN

Practice location

Address: 1640 Selby Ave APT 6, Saint Paul, MN 55104-7379
Phone: (651) 699-6571

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X

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Registry record

NPI: 1083874127
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Jun 2008
Record last updated: 12 Jun 2008

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.