MARLENE RENEE' SULLIVAN L.M.T. NPI 1285791657

NPI Information

  • NPI: 1285791657
  • Provider Name: MARLENE RENEE' SULLIVAN, L.M.T.
  • Classification: Specialist - 174400000X
  • Entity Type: Individual
  • Address: 933 W. 3RD AVE SUITE 214
    SPOKANE, WA
    ZIP 99201
  • Phone: (509) 230-2112

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NPI Details

Marlene Renee' Sullivan, L.M.T. is a specialist in Spokane, WA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. Marlene Renee' Sullivan, L.M.T. NPI is 1285791657. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

933 W. 3RD AVE SUITE 214
SPOKANE, WA
ZIP 99201
Phone: (509) 230-2112
Fax: (509) 747-5443

The enumeration date for this NPI number is 1/3/2007 and was last updated on 7/16/2013.

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
1174400000XSpecialistMA00011043WASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1118072OTHERWASHINGTONLABOR & INDUSTRIES
2MA00011043OTHERWASHINGTONMASSAGE THERAPIST

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: 3/30/2025

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