Michael Leon Sullivan, PTA

Physical Therapy Assistant · Springfield, MO

Individual Active NPI

NPI number 1285987818

Practice location

1707 W Elfindale St
Springfield, MO 65807-1246
Phone
(417) 831-2273
Fax
(417) 865-6876

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NPI record

NPI
1285987818
Entity type
Individual (Type 1)
Enumeration date
October 19, 2012
Last updated
October 19, 2012
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physical Therapy Assistant Primary 225200000X 116911 MO

About Michael Sullivan

Michael Leon Sullivan, PTA is a healthcare provider registered in the NPI registry with the primary taxonomy Physical Therapy Assistant (code 225200000X). The practice location is 1707 W Elfindale St, Springfield, MO 65807-1246. The NPI number 1285987818 was assigned on October 19, 2012 and the record was last updated on October 19, 2012.

Michael Sullivan lists a license in the registry: #116911 (MO) for Physical Therapy Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Michael Leon Sullivan, PTA?

The NPI number is 1285987818.

What is the phone number of Michael Sullivan?

The phone number listed for the practice location is (417) 831-2273.

Where is Michael Sullivan located?

1707 W Elfindale St, Springfield, MO 65807-1246.

What is the taxonomy code for Michael Sullivan?

The primary taxonomy code is 225200000X – Physical Therapy Assistant.

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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