SCOTT PATRIC SULLIVAN

LONGMONT, CO
NPI1033496179
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: CO  609)
Enumeration Date2011-11-03
Last Update Date2011-11-03
Business Address
Mr. SCOTT PATRIC SULLIVAN M.H.A.,A.T.C, R.K.T.
205 S MAIN ST SUITE C
LONGMONT, CO 80501-1716
Phone number: 303-684-9525
Mailing Address
Mr. SCOTT PATRIC SULLIVAN M.H.A.,A.T.C, R.K.T.
1520 RED MOUNTAIN DR
LONGMONT, CO 80504-2277
Phone number: 303-684-9525