Katherine Sullivan, PHD, ATC, USAW

Athletic Trainer · Detroit, MI

Individual Active NPI

NPI number 1114334604

Practice location

656 W Kirby St
Detroit, MI 48202-3622
Phone
(313) 577-9326

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NPI record

NPI
1114334604
Entity type
Individual (Type 1)
Enumeration date
July 16, 2014
Last updated
January 12, 2024
Certified
January 12, 2024
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Athletic Trainer Primary 2255A2300X LAT-4054 NC

About Dr. Sullivan

Katherine Sullivan, PHD, ATC, USAW is a healthcare provider registered in the NPI registry with the primary taxonomy Athletic Trainer (code 2255A2300X). The practice location is 656 W Kirby St, Detroit, MI 48202-3622. The NPI number 1114334604 was assigned on July 16, 2014 and the record was last updated on January 12, 2024.

Dr. Sullivan lists a license in the registry: #LAT-4054 (NC) for Athletic Trainer. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Katherine Sullivan, PHD, ATC, USAW?

The NPI number is 1114334604.

What is the phone number of Dr. Sullivan?

The phone number listed for the practice location is (313) 577-9326.

Where is Dr. Sullivan located?

656 W Kirby St, Detroit, MI 48202-3622.

What is the taxonomy code for Dr. Sullivan?

The primary taxonomy code is 2255A2300X – Athletic Trainer.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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