Individual provider · Type 1 NPI
Jeanette Costa, L.M.T
Massage Therapist · Randolph, NJ
NPI number
1376960377
Active
Practice location
400 Route 10 West
Randolph, NJ 07869
Mailing address
606 Dorothy Ln
Landing, NJ 07850-1411
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 18KT00073300 (NJ) |
Massage Therapist: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
Other massage therapist providers in Randolph
About NPI 1376960377
Jeanette Costa, L.M.T's National Provider Identifier is 1376960377, issued on Mar 27, 2014. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Randolph, NJ. The record was last updated on Jun 30, 2015.