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

MS. Jacqueline Denise Sullivan, PTAATRIC

Individual provider Physical Therapy Assistant · NPI 1235230400

MS. Jacqueline Denise Sullivan, PTAATRIC is a Physical Therapy Assistant in Ellisville, Missouri. Licensed in Missouri. Registered with an NPI since 2006.

Licensed in
MO
In the registry since
2006

Practice location Address checks out

15884 Manchester Rd
Ellisville, MO 63011
Phone: (636) 391-5400
Fax: (636) 394-9674
Show map & directions

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

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 2000161113 (MO)

Record details

NPI number1235230400
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTAATRIC
Sole proprietorNo
NPI enumeratedSeptember 26, 2006
Last updated in NPPESJuly 8, 2007

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