Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. BRIAN KEITH SULLIVAN, MT
Active Sole ProprietorMR. BRIAN KEITH SULLIVAN, MT is a Massage Therapist healthcare provider located in MURRAYVILLE, Georgia. NPI 1003172438 is currently active in the NPPES registry. Verify at CMS.
Massage Therapist · MURRAYVILLE, GA
Registration Details
- NPI Number
- 1003172438
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 10, 2012 (14.333741656156 yrs)
- Last Updated
- Apr 10, 2012
- License
-
MT005008 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
326 STARBRIDGE RDMURRAYVILLE, GA, 305642817Browse GA providers · Browse ZIP 30564
- Phone
- 7062659530
- Fax
- 7068677969
- Primary Specialty
-
Massage Therapist
225700000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.