Jennifer Sullivan

NPI #1851907232 in Creswell, Oregon

Provider Information

NPI Number: 1851907232
Entity Type: Individual
Name: Jennifer Sullivan
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Enumeration Date: Sep 21, 2020
Last Updated: Sep 21, 2020

Practice Location

Address: 82884 N PACIFIC HWY
City: Creswell
State: Oregon
ZIP Code: 97426-9407
Phone: (541) 514-0131

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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