Individual
PIA SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2524 WOODMEADOW DR SE, GRAND RAPIDS, MI 49546-8051
(616) 334-5481
Mailing address
2524 WOODMEADOW DR SE, GRAND RAPIDS, MI 49546-8051
(616) 334-5481
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
01/06/2016
Last updated
01/06/2016
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