Search › New Mexico › 225100000X
Matthew Sullivan
NPI 1619329703 · on the registry since 2016 · sole proprietor
Practice
- Address
- 1935 Warner Ave
Santa Fe, NM 87505 - Phone
- (505) 906-6683
- Fax
- (505) 421-0271
- Organisation at this address
- Pure Movement, Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Additional practice sites
- 223 N Guadalupe St # 593, Santa Fe, NM
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Also registered as
- 225100000X
- Licence states on file
- CO, NM
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-04-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Mexico