Individual
SEAN MICHAEL SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9255 US HIGHWAY 42, UNION, KY 41091-7199
(859) 384-0902
Mailing address
9255 US HIGHWAY 42, UNION, KY 41091-7199
(859) 982-5844
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
008783
KY
Other
Enumeration date
05/31/2023
Last updated
06/01/2023
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