Provider Demographics
NPI:1528255361
Name:COMFORT, SHEILA LEIGH (MASSAGE THERAPIST)
Entity type:Individual
Prefix:MRS
First Name:SHEILA
Middle Name:LEIGH
Last Name:COMFORT
Suffix:
Gender:F
Credentials:MASSAGE THERAPIST
Other - Prefix:
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Mailing Address - Street 1:15201 COMFORT LN
Mailing Address - Street 2:
Mailing Address - City:MINERAL
Mailing Address - State:VA
Mailing Address - Zip Code:23117-9614
Mailing Address - Country:US
Mailing Address - Phone:540-907-8420
Mailing Address - Fax:
Practice Address - Street 1:10411 COURTHOUSE RD
Practice Address - Street 2:
Practice Address - City:SPOTSYLVANIA
Practice Address - State:VA
Practice Address - Zip Code:22553-1798
Practice Address - Country:US
Practice Address - Phone:540-898-9434
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-25
Last Update Date:2007-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0019002593225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist