Organization
SULLIVAN MASSAGE THERAPY
Active
Other names
SMT Integrative Health
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT G SULLIVAN JR. (RMT, NCTMB)
(303) 736-6227
Entity
Organization
Contact information
Practice address
6726 S REVERE PKWY, STE 120, CENTENNIAL, CO 80112-3961
(303) 736-6227
(303) 736-6244
Mailing address
6726 S REVERE PKWY, STE 120, CENTENNIAL, CO 80112-3961
(303) 736-6227
(303) 736-6244
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1740504406
NPI
CO
Enumeration date
09/13/2010
Last updated
09/13/2010
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