Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Miss. Jacqueline Marie Sullivan, LMT

Individual provider Massage Therapist · NPI 1023255395

Miss. Jacqueline Marie Sullivan, LMT is a Massage Therapist in Ogdensburg, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2009
What do these letters mean?
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

See every abbreviation used in this directory →

Practice location Address checks out

609 Canton St
Ogdensburg, NY 13669-3811
Phone: (315) 393-1018
Fax: (315) 393-1075
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 021153 (NY)

Record details

NPI number1023255395
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMT
Sole proprietorYes
NPI enumeratedJanuary 8, 2009
Last updated in NPPESJanuary 8, 2009

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