Joseph Costello

NPI #1992979710 in Boulder, Colorado

Provider Information

NPI Number: 1992979710
Entity Type: Individual
Name: Joseph Costello
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Enumeration Date: Apr 14, 2008
Last Updated: Apr 14, 2008

Practice Location

Address: 2935 BASELINE RD STE 300
City: Boulder
State: Colorado
ZIP Code: 80303-2367
Phone: (303) 444-2951

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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