NPI 1396149944

Ryan Esley Sullivan, LMT

Practitioner Mechanotherapist Tallahassee, FL

Practice location

Address: 325 John Knox Rd Bldg T STE 1, Tallahassee, FL 32303-4166
Phone: (850) 545-3949
Mailing address: 2332 Vinkara Dr, Tallahassee, FL 32303-3724

Registered specialties

Mechanotherapist Primary

Other Service Providers Taxonomy 172M00000X Licence MA50406 (FL)

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Registry record

NPI: 1396149944
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Oct 2014
Record last updated: 10 Oct 2014

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.