Individual
WILLIAM SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
2459 NICHOLASVILLE RD # 50, LEXINGTON, KY 40503-3181
(859) 300-4378
Mailing address
553 BRANNON MEADOW WAY, NICHOLASVILLE, KY 40356-8082
(859) 304-2635
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
244400
KY
Other
Enumeration date
11/19/2024
Last updated
11/19/2024
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