MISS JACQUELINE MARIE SULLIVAN LMT
NPI 1023255395
Massage Therapist in Ogdensburg, NY

Active since January 08, 2009
609 CANTON ST, OGDENSBURG, NY 13669(315) 393-1018(315) 393-1075 Get Directions Write a Review

NPPES record last updated: January 8, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Miss Jacqueline Marie Sullivan Lmt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MISS JACQUELINE MARIE SULLIVAN LMT (NPI 1023255395) is an individual massage therapist in Ogdensburg, New York, licensed in New York (021153) and active in the NPI registry since January 2009.

NPPES Registry Identity

NPI1023255395
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameMISS JACQUELINE MARIE SULLIVANCredential: LMT
Location Address609 CANTON STOgdensburg, NY 13669-3811
Mailing Address609 Canton StreetOgdensburg, NY 13669-0000 · (315) 393-1019 · Fax (315) 393-1075
Fax(315) 393-1075
Sole ProprietorYes
Enumeration DateJanuary 8, 2009
NPI 1023255395 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
License Licensed in NY · 021153
Definition

An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

609 CANTON ST, Ogdensburg, NY 13669

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Specialist
609 CANTON ST
OGDENSBURG, NY 13669
Chiropractor
609 CANTON ST
OGDENSBURG, NY 13669
Massage Therapist
609 CANTON ST
OGDENSBURG, NY 13669
Massage Therapist
609 CANTON ST
OGDENSBURG, NY 13669
Massage Therapist
609 CANTON ST
OGDENSBURG, NY 13669

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacqueline Sullivan's NPI number?

The NPI number for Jacqueline Sullivan is 1023255395. It was assigned to this individual provider in the NPPES registry on January 8, 2009.

Where is Jacqueline Sullivan located?

Jacqueline Sullivan practices at 609 Canton St, Ogdensburg, NY 13669. The listed phone number is (315) 393-1018.

What is Jacqueline Sullivan's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Jacqueline Sullivan was last updated on January 8, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.