IndividualActive
Ashley Sullivan, LMT MMP
NPI 1124573365 · Massage Therapist · Cape Girardeau, MO
Provider details
- NPI number
- 1124573365
- Entity type
- Individual
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- LMT MMP
- Sex
- Female
- Sole proprietor
- Yes
- License
- 2010024803 (MO)
Mailing address
3041 Melrose Ave
Cape Girardeau, MO 63701
Registry dates
- Enumerated
- 2016-08-17
- Last updated
- 2016-08-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.