MR. Mark Allen Sullivan, MBA, PT, ATC

NPI #1306874227 in Suffield, Connecticut

Provider Information

NPI Number: 1306874227
Entity Type: Individual
Name: MR. Mark Allen Sullivan, MBA, PT, ATC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: MBA, PT, ATC
Enumeration Date: Jun 29, 2006
Last Updated: Sep 11, 2025

Practice Location

Address: 133 MOUNTAIN RD
Address 2: SUITE 2B.
City: Suffield
State: Connecticut
ZIP Code: 06078-2084
Phone: (860) 254-5982

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary
Physical Therapist - Sports — Sports	2251S0007X
Physical Therapist - Orthopedic — Orthopedic	2251X0800X
Specialist/Technologist - Athletic Trainer — Athletic Trainer	2255A2300X

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