LILLIAN MARIE SULLIVAN


Address: 3801 Lake Otis Pkwy Ste 300, Anchorage, AK 99508
Phone: 9075622277

LILLIAN MARIE SULLIVAN (NPI# 1831612159) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1831612159
Entity Type Individual
Full Name LILLIAN MARIE SULLIVAN
Credential LMT
Practice Address 3801 Lake Otis Pkwy Ste 300
Anchorage
AK 99508
Mailing Address 3801 Lake Otis Pkwy Ste 300
Anchorage
AK 99508-5234
Practice Telephone 9075622277
Practice Fax Number 9075633460
Mailing Telephone 9075622277
Mailing Fax Number 9075633460
Enumeration Date 2017-07-18
Last Update Date 2019-01-03
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225700000X Massage Therapist 121825 AK Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
12570 Old Seward Hwy Ste 101, Anchorage, AK 995153532 9073333535 9073333530

Office Location

Street Address 3801 LAKE OTIS PKWY STE 300
City ANCHORAGE
State AK
Zip Code 99508

Providers in the same location

NPI Name Taxonomy Address Enumeration
1871529990 Orthoalaska, LLC Internal Medicine 3801 Lake Otis Pkwy Ste 300, Anchorage, AK 99508-5234 2006-06-23
1467013771 Daniel Ouellette Physical Therapist 3801 Lake Otis Pkwy Ste 300, Anchorage, AK 99508-5234 2019-06-26
1710546874 Sarah Caroline King Massage Therapist 3801 Lake Otis Pkwy Ste 300, Anchorage, AK 99508-5234 2019-06-11
1730651514 Peter Marbarger Jr. Physician Assistant 3801 Lake Otis Pkwy Ste 300, Anchorage, AK 99508-5234 2018-12-18
1972070142 Mari Carol Fugere Occupational Therapist 3801 Lake Otis Pkwy Ste 300, Anchorage, AK 99508-5234 2018-10-25
1225570864 Elizabeth Seidl Physical Therapist 3801 Lake Otis Pkwy Ste 300, Anchorage, AK 99508 2016-11-14
1255889432 Christina Waters Physician Assistant 3801 Lake Otis Pkwy Ste 300, Anchorage, AK 99508-5234 2016-09-15
1508219205 Mark Kasprowicz Physical Therapist 3801 Lake Otis Pkwy Ste 300, Anchorage, AK 99508-5234 2016-07-18
1942652722 Kevin Knight Occupational Therapist 3801 Lake Otis Pkwy Ste 300, Anchorage, AK 99508-5234 2016-07-06
1386099372 Michelle Patton Massage Therapist 3801 Lake Otis Pkwy Ste 300, Anchorage, AK 99508-5234 2016-04-27
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1366063349 Alexandra L Davis Student in an Organized Health Care Education/Training Program 1202 E 36th Ave, Anchorage, AK 99508 2020-05-01
1366087108 The Salvation Army, A California Corporation Community/Behavioral Health 3600 East 20th Avenue, Anchorage, AK 99508 2019-11-15
1679120349 Kila Gilcart Speech-Language Pathologist 161 Klevin Street #103, Anchorage, AK 99508 2019-08-19
1326692963 Shannon Maillet Behavior Technician 1650 S Bragaw, Anchorage, AK 99508 2019-07-31
1427602044 Frank Harris Lawson Iv Behavior Technician 1650 S. Bragaw, Anchorage, AK 99508 2019-07-31
1104470723 Vivalesi Seforosa Nair Behavior Technician 1650 South Bragaw, Anchorage, AK 99508 2019-07-31
1043864267 The Cozy Chalet Assisted Living Home LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 3707 Mt Blanc Circle, Anchorage, AK 99508 2019-07-25
1942861778 Christine Mary Hoover Registered Nurse Alaska Native Medical Center - Inpatient Pediatrics, 4315 Diplomacy Dr, Anchorage, AK 99508 2019-06-24
1215594502 Ashley Ongtowasruk Case Manager/Care Coordinator 4441 Dipomacy Dr, Suite 500, Anchorage, AK 99508 2019-05-22
1659937019 Rayne Johnson Behavior Technician 4000 San Ernesto Blvd, Anchorage, AK 99508 2019-05-11
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Taxonomy Information

Taxonomy Code 225700000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Massage Therapist

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1164020772 Miladis Mcduffie Massage Therapist 1350 W. Northern Lights Blvd, Ste C, Anchorage, AK 99503 2020-10-15
1124634233 Mackena Elsie Johnson Massage Therapist Sports & Spinal Injury Clinic, 6634 Lake Otis Pkwy #a, Anchorage, AK 99507 2020-09-23
1346853322 Phillip Zimmerly Massage Therapist 2120 E 73rd Ave Apt 1, Anchorage, AK 99507-2790 2020-08-28
1295344513 Caroleen Theresa Monnseratt Massage Therapist 6511 E 8th Ave Apt 2, Anchorage, AK 99504-1779 2020-07-23
1174131726 Chantel Mcvee Massage Therapist 1601 Baylor Way, Anchorage, AK 99508-4403 2020-07-20
1740807122 Barbara Ellen Bennett Massage Therapist 3333 Denali St Ste 150, Anchorage, AK 99503-4046 2020-07-01
1407472566 Khrista Fortune Massage Therapist 3060 Brookview St, Anchorage, AK 99504-4185 2020-06-24
1144855065 Rachel Reese Massage Therapist 7021 Miranda Dr, Anchorage, AK 99507-5105 2020-03-11
1659906626 Kylie Elizabeth Coston Massage Therapist 3149 Cassius Ct, Anchorage, AK 99508-3333 2020-03-10
1851926893 Matthew Ellison Beardsley Massage Therapist 3210 Denali Street, Suite 1, Anchorage, AK 99503-4041 2020-03-10
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Competitor

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City ANCHORAGE
Zip Code 99508

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Dataset Information

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.

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