Kristin Allie Costello, lmt
Massage Therapist in Waukesha, WI. Individual provider (NPI-1).
NPI number1659986453
StatusActive
Last updated in NPPESSep 16, 2020
Details
- NPI
- 1659986453
- Entity type
- Individual (NPI-1)
- Name
- Kristin Allie Costello
- Credential
- lmt
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 9, 2020
- Certification date
- Sep 16, 2020
- Last updated
- Sep 16, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | 12922-146 | WI | Yes |
Practice location
S31w24757 W Sunset DrWaukesha, WI 53189-7014
Phone 262-547-2250 · Fax 262-547-2775
Mailing address
328 Maple Way SWaukesha, WI 53188-3911
Phone 262-894-3100
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All 20 Massage Therapist providers in Waukesha · All 3,394 providers in Waukesha
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