Individual
JOSEPH COSTELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2935 BASELINE RD STE 300, BOULDER, CO 80303-2367
(303) 444-2951
(303) 444-4779
Mailing address
2935 BASELINE RD STE 300, BOULDER, CO 80303-2367
(303) 444-2951
(303) 444-4779
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
04/14/2008
Last updated
04/14/2008
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