MR. BRIAN KEITH SULLIVAN MT NPI 1003172438

NPI Information

NPI: 1003172438
Provider Name: MR. BRIAN KEITH SULLIVAN, MT
Classification: Massage Therapist - 225700000X
Entity Type: Individual
Address:
326 STARBRIDGE RD
MURRAYVILLE, GA
ZIP 30564
Phone: (706) 265-9530
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MR. Brian Keith Sullivan, MT is a massage therapist in Murrayville, GA. The provider is 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. MR. Brian Keith Sullivan, MT NPI is 1003172438. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

326 STARBRIDGE RD
MURRAYVILLE, GA
ZIP 30564-817
Phone: (706) 265-9530
Fax: (706) 867-7969

The enumeration date for this NPI number is 4/10/2012 and was last updated on 4/10/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	225700000X	Massage Therapist		MT005008	GEORGIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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