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

Mr. Justin Lee Sullivan I

Individual provider Massage Therapist · NPI 1629957980

Mr. Justin Lee Sullivan I is a Massage Therapist in Gastonia, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2025
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Practice location Address checks out

1020 Holly Hills Dr
Gastonia, NC 28052-9421
Phone: (704) 600-7223
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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 16911 (NC)

Record details

NPI number1629957980
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 30, 2025
Last updated in NPPESAugust 30, 2025
Certification dateAugust 30, 2025

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