Individual
MISS JAMIE LYNN COSTELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RMT
Contact information
Practice address
4022 TENNYSON ST., DENVER, CO 80212-3935
(636) 297-5222
Mailing address
4022 TENNYSON ST., DENVER, CO 80212-3935
(636) 297-5222
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
11048
CO
Other
Enumeration date
08/13/2012
Last updated
09/12/2012
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