CLEMENTINE YALONDA SULLIVAN
NPI 1134584998
Massage Therapist in Flowood, MS

Active since December 22, 2015
151 E METRO DR STE 203, FLOWOOD, MS 39232(601) 382-8337 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, May 22, 2017, Dec 22, 2015 (3 updates tracked since 2015).

About Clementine Yalonda Sullivan NPPES

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

CLEMENTINE YALONDA SULLIVAN (NPI 1134584998) is an individual massage therapist in Flowood, Mississippi, licensed in Mississippi (1928) and active in the NPI registry since December 2015.

NPPES Registry Identity

NPI1134584998
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameCLEMENTINE YALONDA SULLIVAN
Location Address151 E METRO DR STE 203Flowood, MS 39232-4405
Mailing Address151 E Metro Dr Ste 203Flowood, MS 39232-4405 · (601) 382-8337
Sole ProprietorYes
Enumeration DateDecember 22, 2015
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
NPI 1134584998 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 MS · 1928
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.
151 E METRO DR STE 203, Flowood, MS 39232

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 Clementine Sullivan's NPI number?

The NPI number for Clementine Sullivan is 1134584998. It was assigned to this individual provider in the NPPES registry on December 22, 2015.

Where is Clementine Sullivan located?

Clementine Sullivan practices at 151 E Metro Dr Ste 203, Flowood, MS 39232. The listed phone number is (601) 382-8337.

What is Clementine 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 Clementine Sullivan was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.