Individual
ROBERT GERARD SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6726 S REVERE PKWY, SUITE 120, CENTENNIAL, CO 80112-3961
(303) 736-6227
(303) 736-6244
Mailing address
6726 S REVERE PKWY, SUITE 120, CENTENNIAL, CO 80112-3961
(303) 736-6227
(303) 736-6244
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT-510
CO
Other
Enumeration date
03/23/2010
Last updated
03/23/2010
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