Richard E Comello, CMT
Individual provider Active NPI Massage Therapist · Madison, WI
NPI 1710071014 · NPPES record last updated Feb 23, 2011
Key facts
- NPI
- 1710071014
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- 3055-046 (WI)
- Practice address
- 8202 Excelsior Dr
Madison, WI 53717-1906 - Phone
- (608) 831-1766
- NPI assigned
- Oct 3, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3055-046 | WI | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 3055-046 | WI | Yes |
Addresses
Primary practice location
8202 Excelsior Dr
Madison, WI 53717-1906
Mailing address
1265 John Q Hammons Dr
Madison, WI 53717-1941
Phone (608) 251-4156
Other providers in Madison, WI
- Jake Ryan Colvin
- Jamie Colvin
- Chad Glenn Colwell
- Shannon John Colwin
- Daniel James Comeaux
- Jessica Comerford
- Comfort Care 4 U, LLC
- Comfort Home Health LLC
- Comfort Living
- Comfy Care LLC
All providers in Madison, WI · Massage Therapist in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 23, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.