Desiree Elizabeth Costello

NPI #1316475163 in Carson City, Nevada

Provider Information

NPI Number: 1316475163
Entity Type: Individual
Name: Desiree Elizabeth Costello
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Enumeration Date: May 24, 2017
Last Updated: Jul 21, 2022

Practice Location

Address: 4250 LOUISE DR
City: Carson City
State: Nevada
ZIP Code: 89706-0607
Phone: (775) 530-5133

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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