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Miss Jacqueline Marie Sullivan, LMT
Massage Therapist in Ogdensburg, New York
NPI 1023255395

Jacqueline Marie Sullivan is a Massage Therapist based in Ogdensburg, NY. Jacqueline Marie Sullivan practices in Ogdensburg, NY and has the professional credentials of LMT. The NPI Number for Jacqueline Marie Sullivan is 1023255395 and holds a License No. 021153 (New York).

The current practice location address for Jacqueline Marie Sullivan is 609 Canton St, Ogdensburg, NY and can be reached out via phone at 315-393-1018 and via fax at 315-393-1075.

Location: 609 Canton St, Ogdensburg, NY, 13669-0000
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1023255395
Provider Name
Jacqueline Marie Sullivan
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
609 Canton St, Ogdensburg, NY, 13669-0000
Phone Number
315-393-1018
Fax Number
315-393-1075
Provider Enumeration Date
01/08/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
609 Canton St
City
Ogdensburg
State
New York
Zip
13669-3811
Phone Number
315-393-1018
Fax Number
315-393-1075
person
Provider Business Mailing Address Details
Address
609 Canton St
City
Ogdensburg
State
New York
Zip
13669-3811
Phone Number
315-393-1018
Fax Number
315-393-1075
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
021153 (New York)
Definition
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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