Danette Costello, LMP

NPI #1184831604 in Poulsbo, Washington

Provider Information

NPI Number: 1184831604
Entity Type: Individual
Name: Danette Costello, LMP
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMP
Enumeration Date: May 16, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 20307 VIKING AVE NW STE 102
City: Poulsbo
State: Washington
ZIP Code: 98370-8321
Phone: (360) 697-3737

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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