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Mr. David Sullivan, LMT
Massage Therapist in Medford, Oregon
NPI 1154856987

David Sullivan is a Massage Therapist based in Ashland, OR. David Sullivan practices in Medford, OR and has the professional credentials of LMT. The NPI Number for David Sullivan is 1154856987 and holds a License No. 22561 (Oregon).

The current practice location address for David Sullivan is 100 N Grape St Apt 303, Medford, OR and can be reached out via phone at 718-825-7245.

Location: 100 N Grape St Apt 303, Medford, OR, 97520-1892
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154856987
Provider Name
David Sullivan
Credential
LMT
Provider Entity Type
Individual
Gender
Male
Address
100 N Grape St Apt 303, Medford, OR, 97520-1892
Phone Number
718-825-7245
Fax Number
Provider Enumeration Date
04/30/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
100 N Grape St Apt 303
City
Medford
State
Oregon
Zip
97501-3151
Phone Number
718-825-7245
Fax Number
person
Provider Business Mailing Address Details
Address
100 N Grape St Apt 303
City
Medford
State
Oregon
Zip
97501-3151
Phone Number
718-825-7245
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
22561 (Oregon)
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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