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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. MICHAEL LEON SULLIVAN, PTA

Active

MR. MICHAEL LEON SULLIVAN, PTA is a Occupational Therapist healthcare provider located in SPRINGFIELD, Missouri. NPI 1285987818 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · SPRINGFIELD, MO

Registration Details

NPI Number
1285987818
Provider Type
Individual
Gender
Male
NPI Issued
Oct 19, 2012 (13.781106981198 yrs)
Last Updated
Oct 19, 2012
License
116911 (MO)

Practice Information

Address
1707 W ELFINDALE ST
SPRINGFIELD, MO, 658071246
Browse MO providers · Browse ZIP 65807
Phone
4178312273
Fax
4178656876
Primary Specialty
Occupational Therapist
225200000X

Other Occupational Therapist Providers in SPRINGFIELD, MO

Name Credential NPI
BRADLEY TOBIN PTA 1124273164
MR. JOHN DEWANE SPENCER JR. PTA 1306108857
TORI L SPEAR 1902287139
JENNIFER PENDERGRASS 1083166730
ALYSON ROSE 1083130363
TREVOR WAYNE LOVE PTA 1992287478
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.