Doctor Name: | CHRISTIE DAWN SULLIVAN |
NPI Number: | 1013100650 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 0019006891 |
Business Practice Address: | 10411 Courthouse Rd Spotsylvania, VA - 225531798 |
Business Phone Number: | 5407857888 |
Business Fax Number: | |
Mailing Address: | 6831 Buck Ln, FREDERICKSBURG |
State: | VA |
Postal Code: | 224076327 |
Phone Number: | 5407865902 |
Fax Number: | |
NPI Enumeration Date: | 08/27/2007 |
NPI Last Update Date: | 08/27/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | 0019006891 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Massage Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |