Individual
DEXTER SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
676 MLK JR BLVD, DETROIT, MI 48201-2208
(734) 589-9830
Mailing address
4501 WOODWARD AVE STE 101, DETROIT, MI 48201-1890
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501017301
MI
Other
Enumeration date
12/10/2025
Last updated
12/10/2025
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