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DAVID ROLLAND SULLIVAN L.AC.
NPI 1396795365
Specialist/Technologist - Athletic Trainer in Marine On St Croix, MN

Active since May 11, 2006
17777 ST CROIX TRAIL NORTH, MARINE ON ST CROIX, MN 55047(651) 433-5458 Get Directions Write a Review

NPPES record last updated: July 19, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About David Rolland Sullivan L.ac. NPPES

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

DAVID ROLLAND SULLIVAN L.AC. (NPI 1396795365) is an individual athletic trainer provider in Marine On St Croix, Minnesota and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1396795365
Entity TypeIndividualMale
Primary Taxonomy2255A2300X
Provider Legal NameDAVID ROLLAND SULLIVANCredential: L.AC.
Location Address17777 ST CROIX TRAIL NORTHMarine On St Croix, MN 55047
Mailing Address17777 St Croix Trail NorthMarine On St Croix, MN 55047 · (651) 433-5458
Phone(651) 433-5458
Sole ProprietorYes
Enumeration DateMay 11, 2006
Last NPPES UpdateJuly 19, 2019
✔ NPI 1396795365 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2255A2300X
Definition
Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.
Also ListedAcupuncturistTaxonomy 171100000X · License 1288 (MN)
17777 ST CROIX TRAIL NORTH, Marine On St Croix, MN 55047
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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 1396795365. It was assigned to this individual provider in the NPPES registry on May 11, 2006.

Where is David Sullivan located?

David Sullivan practices at 17777 St Croix Trail North, Marine On St Croix, MN 55047. The listed phone number is (651) 433-5458.

What is David Sullivan's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

When was this NPI record last updated?

The NPPES record for David Sullivan was last updated on July 19, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.