NPI 1205257698
Venice Sullivan, CNMT
Practice location
- Address
- 9801 Fair Oaks Blvd STE 200, Fair Oaks, CA 95628-7051
- Phone
- (916) 965-6558
- Fax
- (916) 844-0286
Registered specialties
Mechanotherapist
Primary
Registry record
- NPI
- 1205257698
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 2 Jan 2014
- Record last updated
- 11 Dec 2024
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.