MR. Robert O. Costa, LMT
NPI #1598963845 in Tijeras, New Mexico
Provider Information
- NPI Number
- 1598963845
- Entity Type
- Individual
- Name
- MR. Robert O. Costa, LMT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Massage Therapist
- Credential
- LMT
- Enumeration Date
- Jul 9, 2007
- Last Updated
- Nov 13, 2019
Practice Location
- Address
- 19 CAMINO LINDA
- City
- Tijeras
- State
- New Mexico
- ZIP Code
- 87059-8041
- Phone
- (505) 417-6182
Specialties & Taxonomy Codes
| Specialty |
|---|
| Massage Therapist |
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