IndividualActive
Andrea Sullivan, ANDREA SULLIVAN
NPI 1619297694 · Massage Therapist · Saint Paul, MN
Provider details
- NPI number
- 1619297694
- Entity type
- Individual
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- ANDREA SULLIVAN
- Sex
- Female
- Sole proprietor
- Yes
- License
- 20090000761 (MN)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2150 Saint Anthony Ave
Saint Paul, MN 55104-5029
Phone: (651) 230-1629
Street-level locationGet directions
Mailing address
232 Snelling Ave S
Saint Paul, MN 55105-1944
Registry dates
- Enumerated
- 2010-06-01
- Last updated
- 2010-06-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.