Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1922202795 Individual Practitioner Female Practitioner

Kathleen Sue Sullivan , LMP

Massage Therapist • Bothell, WA

Professional Overview & Biography Verified Profile Summary

Kathleen Sullivan, LMP is a registered healthcare professional specializing in Massage Therapist in Bothell, WA. Practice services are available at 10116 NE 187TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

10116 Ne 187th St

Bothell, WA 980113845

Telephone 2064098782
Fax 4258771953

Specialty Benchmarks & Practice Insights

Comparative analytics for Massage Therapist in Bothell, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 17.3 Yrs
Regional Practice Density
176 Specialists

Practicing in Bothell, WA (13385 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-02-24
Massage Therapist Primary Specialty

NUCC Taxonomy Code: 225700000X

State License WA MA00012330

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.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location February 24, 2021

Registered at 10116 NE 187TH ST, BOTHELL, WA 980113845 (Tel: 2064098782)

📍
Updated Business Mailing Address February 24, 2021

Registered at 10116 NE 187TH ST, BOTHELL, WA 980113845 (Tel: 2064098782)

NPI Profile Active August 24, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location August 24, 2007

Registered at 13118 121ST WAY NE STE 100, KIRKLAND, WA 980343004 (Tel: 4258202773)

📍
Updated Business Mailing Address August 24, 2007

Registered at 13118 121ST WAY NE STE 100, KIRKLAND, WA 980343004 (Tel: 4258202773)

👤
Provider Name / Credentials Updated August 24, 2007

Recorded as KATHLEEN SULLIVAN, L.M.P

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 24, 2007

Massage Therapist (License #MA00012330 in WA)

🟢
Initial NPI Registration & Enumeration June 13, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1922202795
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 13, 2007
Last Update: February 24, 2021
Sole Proprietor: Yes

Mailing Address

10116 Ne 187th St

Bothell, WA 980113845

Phone: 2064098782

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.