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DEXTER SULLIVAN
NPI 1699639203
Massage Therapist in Detroit, MI

Active since December 10, 2025
676 MLK JR BLVD, DETROIT, MI 48201(734) 589-9830 Get Directions Write a Review

NPPES record last updated: December 10, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dexter Sullivan NPPES

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

DEXTER SULLIVAN (NPI 1699639203) is an individual massage therapist in Detroit, Michigan, licensed in Michigan (7501017301) and active in the NPI registry since December 2025.

NPPES Registry Identity

NPI1699639203
Entity TypeIndividualMale
Primary Taxonomy225700000X
Provider Legal NameDEXTER SULLIVAN
Location Address676 MLK JR BLVDDetroit, MI 48201-2208
Mailing Address4501 Woodward Ave Ste 101Detroit, MI 48201-1890
Phone(734) 589-9830
Sole ProprietorNo
Enumeration DateDecember 10, 2025
NPPES CertifiedDecember 10, 2025
✔ NPI 1699639203 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 MI · 7501017301
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.
676 MLK JR BLVD, Detroit, MI 48201
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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 Dexter Sullivan's NPI number?

The NPI number for Dexter Sullivan is 1699639203. It was assigned to this individual provider in the NPPES registry on December 10, 2025.

Where is Dexter Sullivan located?

Dexter Sullivan practices at 676 Mlk Jr Blvd, Detroit, MI 48201. The listed phone number is (734) 589-9830.

What is Dexter 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 Dexter Sullivan was last updated on December 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.