NPI 1053974063

David J Mancuso, LMT

Practitioner Massage Therapist Madison, WI

Practice location

Address: 4602 Eastpark Blvd, Madison, WI 53718-2002
Phone: (608) 262-9355
Mailing address: 7974 Uw Health CT, Middleton, WI 53562-5531

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 14162 (WI)

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Registry record

NPI: 1053974063
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Apr 2019
Record last updated: 16 Apr 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.