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Miya Sullivan, MS, ATC
NPI 1649488503 · on the registry since 2007 · sole proprietor
Practice
- Address
- 3672 W Pine Mall Blvd
Athletics
Saint Louis, MO 63108 - Phone
- (314) 977-7024
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2007-07-08
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 Missouri