National Provider Identifier
Susan M Sullivan, L.M.T.
Susan M Sullivan, L.M.T. is listed in the NPPES registry with a primary specialty of Massage Therapist in Williamsville, NY and a listed phone number of (716) 807-5228.
Profile Overview
- NPI
- 1124382700
- Provider Type
- Individual
- Primary Specialty
- Massage Therapist
- Enumeration Date
- June 28, 2012
- Last Updated
- January 09, 2015
Practice Location
- 8655 Main St
- Williamsville, NY 14221-7501
Phone: (716) 807-5228
Specialties
- Massage Therapist (225700000X)
Full Record
- NPI
- 1124382700
- Entity Type
- Individual
- Last Name
- Sullivan
- First Name
- Susan
- Middle Name
- M
- Credential
- L.M.T.
- Mailing Street Address
- 8655 Main St
- Mailing City
- Williamsville
- Mailing State
- NY
- Mailing ZIP Code
- 14221-7501
- Mailing Country
- US
- Mailing Phone
- (716) 807-5228
- Practice Street Address
- 8655 Main St
- Practice City
- Williamsville
- Practice State
- NY
- Practice ZIP Code
- 14221-7501
- Practice Country
- US
- Practice Phone
- (716) 807-5228
- Enumeration Date
- June 28, 2012
- Last Updated
- January 09, 2015
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Massage Therapist (225700000X)