Jessica L Sullivan in Bolingbrook - Massage Therapist
Jessica L Sullivan - NPI 1740440379
Jessica L Sullivan is a Massage Therapist in Bolingbrook, Illinois. Jessica L Sullivan practices all healthcare services and medical treatments related to Massage Therapist. The NPI Number for Jessica L Sullivan is 1740440379. The last update date is 2016-01-25.
Jessica L Sullivan's current location address is 790 Remington Blvd, Bolingbrook, Illinois. You can contact this provider via phone number 6302962223. The mailing address for Jessica L Sullivan is 790 Remington Blvd, Bolingbrook, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jessica L Sullivan |
|---|---|
| Address | 790 Remington Blvd, Bolingbrook, Illinois |
| Phone Number | 6302962223 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LMT |
NPI Number Detail
| NPI Number | 1740440379 |
|---|---|
| Provider Enumeration Date | 2008-06-17 |
| Last Updated Date | 2016-01-25 |
Provider Mailing Address Detail
| Address | 790 Remington Blvd |
|---|---|
| City | Bolingbrook |
| State | Illinois (IL) |
| Post Code | 604404909 |
| Phone Number | 6302962223 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Massage Therapist |
|---|---|
| Taxonomy | 225700000X |
| Licence No | MA60590036 |
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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. |
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What is the unique identification code assigned to Jessica L Sullivan by the Centers for Medicare & Medicaid Services?
The Jessica L Sullivan has been issued the NPI (National Provider Identifier) 1740440379. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Jessica L Sullivan?
The Jessica L Sullivan is situated at 790 Remington Blvd, in the city of Bolingbrook, state of IL, with the zip code 604404909.
What is Jessica L Sullivan's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Jessica L Sullivan is Massage Therapist, and the taxonomy code that classifies this field of practice is 225700000X.
On what date did the Jessica L Sullivan receive its 1740440379 assignment from the Centers for Medicare & Medicaid Services?
The Jessica L Sullivan was assigned its 1740440379 by the Centers for Medicare & Medicaid Services on 2008-06-17.
When was the information related to Jessica L Sullivan most recently updated or refreshed?
The details pertaining to the Jessica L Sullivan, including its address, specialty, and other relevant information, were last updated or refreshed on 2016-01-25.
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