Individual
BRENNA SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 STATE ST, SPRINGFIELD, MA 01109-3151
(781) 686-5845
Mailing address
357 HIGH ST, RANDOLPH, MA 02368-1609
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
ATL22255
MA
Other
Enumeration date
10/28/2025
Last updated
10/30/2025
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