NPI 1316475163

Desiree Elizabeth Costello

Practitioner Massage Therapist Carson City, NV

Practice location

Address: 4250 Louise Dr, Carson City, NV 89706-0607
Phone: (775) 530-5133

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence NVMT2829 (NV)

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Registry record

NPI: 1316475163
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 May 2017
Record last updated: 21 Jul 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.