Michael Ashby Sullivan
Michael Ashby Sullivan is a Massage Therapist in Stafford, Virginia. Practices as a sole proprietor. Licensed in Virginia.
- Licensed in
- VA
- In the registry since
- 2020
Practice location Address checks out
2152 Jefferson Davis HwyStafford, VA 22554-7273
Phone: (540) 751-8750
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Massage Therapist (primary) | Taxonomy 225700000X · Licence 0019012217 (VA) |
|---|
Record details
| NPI number | 1972114882 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | August 13, 2020 |
| Last updated in NPPES | August 13, 2020 |
| Certification date | August 13, 2020 |
| Mailing address | 5 Baldwin Dr, Fredericksburg, VA 22406-6264 |
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