MS. Lisa Meghan Sullivan, M.T.

NPI #1083874127 in Saint Paul, Minnesota

Provider Information

NPI Number: 1083874127
Entity Type: Individual
Name: MS. Lisa Meghan Sullivan, M.T.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: M.T.
Enumeration Date: Jun 12, 2008
Last Updated: Jun 12, 2008

Practice Location

Address: 1640 SELBY AVE APT 6
City: Saint Paul
State: Minnesota
ZIP Code: 55104-7379
Phone: (651) 699-6571

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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