Individual provider · Type 1 NPI

Cory Lyn Costello, BS, LMT, NMT

Massage Therapist · Great Falls, MT

NPI number 1477078244 Active

Practice location

1601 2nd Ave N Ste 516
Great Falls, MT 59401-3289

Call (406) 868-6316 Map

Fax (406) 868-6316

Mailing address

2601 8th Ave N
Great Falls, MT 59401-2059

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XLMT-LMT-LIC-10081 (MT)

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.

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About NPI 1477078244

Cory Lyn Costello, BS, LMT, NMT's National Provider Identifier is 1477078244, issued on Aug 13, 2017. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Great Falls, MT. The record was last updated on Aug 13, 2017.