MEDICARE: TERESA CASTELLO CERTIFIED LIGHT THER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	103TH0004X	Health Psychologist
2	171000000X	Military Health Care Provider
3	172M00000X	Mechanotherapist
4	175F00000X	Naturopath
5	261QP3300X	Pain Clinic/Center
6	261QX0100X	Occupational Medicine Clinic/Center
7	103G00000X	Clinical Neuropsychologist
8	103TA0700X	Adult Development & Aging Psychologist
9	103TB0200X	Cognitive & Behavioral Psychologist

General Provider Information

NPI Number	:	1508721291
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TERESA CASTELLO CERTIFIED LIGHT THER

Provider Business Mailing Address
First Line	:	2624 SW ARROWHEAD RD
Second Line	:
City	:	TOPEKA
State	:	KS
Zip	:	66614-2497
Country	:	US
Telephone Number	:	785-289-7022
Fax Number	:	785-339-5871

Provider Business Practice Location Address
First Line	:	5658 SW 29TH ST
Second Line	:
City	:	TOPEKA
State	:	KS
Zip	:	66614-2443
Country	:	US
Telephone Number	:	785-289-7022
Fax Number	:	785-339-5871

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/16/2025
Last Update Date	:	12/16/2025

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