Essential Energy L.L.C.

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

NONE Issued in WI

Legal business name

ESSENTIAL ENERGY L.L.C.

Practice address

W2499 County Road T
Durand, WI 54736-5063

Phone

(715) 495-5984

NPI assigned

Dec 21, 2009

Last updated

Dec 21, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Glenda Komro, L.P.N.NPI 1063748051

Title

Massage Practitioner

Phone

(715) 495-5984

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Glenda Komro, L.P.N./MASSAGE PRACT

  • Massage Therapist
  • Durand, WI
  • NPI 1063748051
  NPD (past) Authorized official

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

{
    "created_epoch": "1261353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261353600000",
    "number": "1396074340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W2499 COUNTY ROAD T",
            "city": "DURAND",
            "state": "WI",
            "postal_code": "547365063",
            "telephone_number": "715-495-5984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W2499 COUNTY ROAD T",
            "city": "DURAND",
            "state": "WI",
            "postal_code": "547365063",
            "telephone_number": "715-495-5984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESSENTIAL ENERGY L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-21",
        "last_updated": "2009-12-21",
        "status": "A",
        "authorized_official_last_name": "KOMRO",
        "authorized_official_first_name": "GLENDA",
        "authorized_official_title_or_position": "MASSAGE PRACTITIONER",
        "authorized_official_telephone_number": "715-495-5984",
        "authorized_official_credential": "L.P.N."
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WI",
            "license": "NONE",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1063748051",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brady Didion
• Robert L Dohlman, MD
• Lanita Dorwin
• Durand Optometry Clinic LLC
• Joseph L. Elsner, DO
• Nicole Kristine Gilles, FNP
• Katie Jo Hartung, MS, RD
• Heike Pharmacy Inc
• Charles Robert Heike, PHARMD
• Gay Elizabeth Hurlburt, OWNER/OPERATOR

• Massage Therapist in Durand, WI
• Providers in Durand, WI by specialty
• Massage Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2009; 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.