MR. MICHAEL SULLIVAN, PTA
Physical Therapy Assistant
Active
Individual
NPI: 1285987818
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physical Therapy Assistant | 225200000X | Yes | 116911 (MO) |
Frequently Asked Questions
NPI 1285987818 is the National Provider Identifier for MR. MICHAEL SULLIVAN, PTA, a Physical Therapy Assistant provider located in Springfield, MO. This NPI was enumerated on October 19, 2012.
MR. MICHAEL SULLIVAN, PTA practices at 1707 W ELFINDALE ST, Springfield, MO 65807.
Quick Facts
- NPI
- 1285987818
- Type
- Individual
- Enumerated
- Oct 19, 2012
- Last Updated
- Oct 19, 2012
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