BECKY LYNN SULLIVAN (NPI# 1760742167) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760742167 |
| Entity Type | Individual |
| Full Name | BECKY LYNN SULLIVAN |
| Practice Address |
2086 Kurtz Rd Fairview MI 48621-9740 |
| Practice Telephone | 9893907007 |
| Mailing Telephone | 9893907007 |
| Enumeration Date | 2012-05-21 |
| Last Update Date | 2015-04-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780051110 | Becky Lynn Sullivan | Physician Assistant | 3480 Yorkshire Medical Park, Lexington, KY 40509-1886 | 2015-09-02 |
| Street Address |
2086 KURTZ RD |
| City | FAIRVIEW |
| State | MI |
| Zip Code | 48621-9740 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134408511 | Mclaren Bay Region | Internal Medicine | 1910 E Miller Rd, Fairview, MI 48621 | 2011-08-16 |
| 1396075602 | Peggy Kay Fortin | Counselor | 1392 Maple Dr, Fairview, MI 48621-8703 | 2010-01-08 |
| 1730177015 | Ausable Valley Continuing Care Retirement Community, Inc. | Nursing Facility/Intermediate Care Facility | 1390 Maple Dr, Fairview, MI 48621-8703 | 2005-10-11 |
| 1033695127 | Alora Ehlert | Occupational Therapist | 1390 Maple Dr, Fairview, MI 48621-8703 | 2018-07-12 |
| 1780187526 | Mayuree Gopal Sawant | Physical Therapist | 1390 Maple Dr, Fairview, MI 48621-8703 | 2018-03-16 |
| 1356339196 | St Joseph Health System | Clinic/Center | 1392 Maple Dr, Fairview, MI 48621-8703 | 2005-10-06 |
| 1558730234 | Thunder Bay Community Health Service, Inc | Clinic/Center | 1879 E Miller Rd, Fairview, MI 48621-8705 | 2015-09-23 |
| 1003253170 | Northsport Physical Therapy & Rehabilitation PC | Physical Therapist | 1968 E Miller Rd, Fairview, MI 48621-8717 | 2013-05-30 |
| 1033145842 | Cherie A Mckenzie | Chiropractor | 1554 N Abbe Rd, Fairview, MI 48621-8719 | 2006-06-23 |
| 1760848162 | Courtney Marie Bolen | Chiropractor | 1554 N Abbe Rd, Fairview, MI 48621-8719 | 2016-01-14 |
| Find all providers in zip 48621 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972061794 | Guijun Du | Massage Therapist | 431 Stacy Rd Ste 107, Fairview, TX 75069-8717 | 2019-03-11 |
| 1306387352 | Lucie Lasnier | Massage Therapist | 75 Camby Dr, Fairview, NC 28730-9562 | 2017-03-09 |
| 1265763098 | Kelly Marie Cooper | Massage Therapist | 25 Quail Hollow Rd, Fairview, NC 28730-8505 | 2010-01-19 |
| 1801921986 | Dianna K Evans | Massage Therapist | 28702 Highway A, Fairview, MO 64842-8160 | 2007-02-22 |
| 1780240713 | Christie Ellen Thompson | Massage Therapist | 1659 Ne Market Drive, Fairview, OR 97024 | 2019-05-15 |
| 1033604160 | Kenneth Robert Romero | Massage Therapist | 1659 Ne Market Dr, Fairview, OR 97024-3867 | 2018-07-01 |
| 1366974560 | Gina Barbera | Massage Therapist | 1659 Ne Market Dr, Fairview, OR 97024-3867 | 2017-03-28 |
| 1659619526 | Audra Skinner | Massage Therapist | 1659 Ne Market Dr, Fairview, OR 97024-3867 | 2013-01-28 |
| 1003001181 | Theo Dickinson Chappell | Massage Therapist | 2 Fairview Hills Dr, Fairview, NC 28730-9777 | 2007-09-11 |
| 1619162971 | Katrina Auer Chappell | Massage Therapist | 2 Fairview Hills Dr, Fairview, NC 28730-9777 | 2007-09-10 |
| Find all providers in FAIRVIEW | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.