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MR. DAVID SULLIVAN LMT
NPI 1154856987
Massage Therapist in Medford, OR

Active since April 30, 2017
100 N GRAPE ST APT 303, MEDFORD, OR 97501(718) 825-7245 Get Directions Write a Review

NPPES record last updated: October 29, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 29, 2019, Apr 30, 2017 (2 updates tracked since 2017).

About Mr. David Sullivan Lmt NPPES

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

MR. DAVID SULLIVAN LMT (NPI 1154856987) is an individual massage therapist in Medford, Oregon, licensed in Oregon (22561) and active in the NPI registry since April 2017. He maintains a secondary practice location in Ashland.

NPPES Registry Identity

NPI1154856987
Entity TypeIndividualMale
Primary Taxonomy225700000X
Provider Legal NameMR. DAVID SULLIVANCredential: LMT
Location Address100 N GRAPE ST APT 303Medford, OR 97501-3151
Mailing Address2503 Saratoga StAshland, OR 97520-1892 · (718) 825-7245
Phone(718) 825-7245
Sole ProprietorNo
Enumeration DateApril 30, 2017
Last NPPES UpdateOctober 29, 20192 updates tracked since enumeration
✔ NPI 1154856987 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 OR · 22561
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.
100 N GRAPE ST APT 303, Medford, OR 97501
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Secondary Practice Location 1

Location 1550 Siskiyou BlvdAshland, OR 97520-2138 · Phone (541) 488-6757

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 David Sullivan's NPI number?

The NPI number for David Sullivan is 1154856987. It was assigned to this individual provider in the NPPES registry on April 30, 2017.

Where is David Sullivan located?

David Sullivan practices at 100 N Grape St Apt 303, Medford, OR 97501. The listed phone number is (718) 825-7245.

What is David 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 David Sullivan was last updated on October 29, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.