Provider Demographics
NPI:1134371578
Name:COMPREHENSIVE COMPRESSION THERAPY, LLC
Entity type:Organization
Organization Name:COMPREHENSIVE COMPRESSION THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:R
Authorized Official - Last Name:RISTAGNO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-515-7600
Mailing Address - Street 1:1161 AUGUSTA DR
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48085-6127
Mailing Address - Country:US
Mailing Address - Phone:248-515-7600
Mailing Address - Fax:248-813-9811
Practice Address - Street 1:719 E 11 MILE RD
Practice Address - Street 2:
Practice Address - City:ROYAL OAK
Practice Address - State:MI
Practice Address - Zip Code:48067-1963
Practice Address - Country:US
Practice Address - Phone:248-515-7600
Practice Address - Fax:248-813-9811
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-16
Last Update Date:2010-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies