Colin Peter Sparks, LMT
Massage Therapist in Madison, WI. Individual provider (NPI-1).
NPI number1689218752
StatusActive
Last updated in NPPESNov 1, 2019
Details
- NPI
- 1689218752
- Entity type
- Individual (NPI-1)
- Name
- Colin Peter Sparks
- Credential
- LMT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 1, 2019
- Last updated
- Nov 1, 2019
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | 14944-146 | WI | Yes |
Practice location
8202 Excelsior DrMadison, WI 53717-1906
Phone 608-831-1766 · Fax 608-831-1562
Mailing address
3637 Alpine RdMadison, WI 53704-2201
Phone 608-335-6047
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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