Suzanne Sheryl Sund, LMP

Primary specialty

MechanotherapistTaxonomy code 172M00000X

License

MA60437003 Issued in WA

Practice address

1800 Cooper Point Rd SE
BLDG 15
Olympia, WA 98502

Phone

(360) 561-9796

NPI assigned

Jul 22, 2014

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Suzanne Sund Gillet Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lathrop Enterprises Inc

  • Chiropractor
  • Olympia, WA
  • NPI 1053527572
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1405987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719187200000",
    "number": "1619384682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13231",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985083231",
            "telephone_number": "360-561-9796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 COOPER POINT RD SE",
            "address_2": "BLDG 15",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "98502",
            "telephone_number": "360-561-9796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUND",
        "first_name": "SUZANNE",
        "middle_name": "SHERYL",
        "name_prefix": "Ms.",
        "credential": "LMP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-22",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172M00000X",
            "taxonomy_group": "",
            "desc": "Mechanotherapist",
            "state": "WA",
            "license": "MA60437003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUZANNE",
            "last_name": "GILLET",
            "middle_name": "SUND",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Wendy Sullivan, LMP
• Sanghamitra Suman
• Theresa C Summer, LPC, NCC
• Summit Dermatology PS
• Eric Sun, DDS
• Donald Andrew Sunde, D.M.D
• Ann-Kristin Sundell, M.D.
• Suneet S Bath D M D P S
• Staci Suneson, CCC-SLP
• Sunflower Mental Health, PLLC

• Mechanotherapist in Olympia, WA
• Providers in Olympia, WA by specialty
• Mechanotherapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.