Individual provider · Type 1 NPI

Kristin Allie Costello, LMT

Massage Therapist · Waukesha, WI

NPI number 1659986453 Active

Practice location

S31W24757 W Sunset Dr
Waukesha, WI 53189-7014

Call (262) 547-2250 Map

Fax (262) 547-2775

Mailing address

328 Maple Way S
Waukesha, WI 53188-3911

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X12922-146 (WI)

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.

2 other providers at this address

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About NPI 1659986453

Kristin Allie Costello, LMT's National Provider Identifier is 1659986453, issued on Sep 9, 2020. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Waukesha, WI. The record was last updated on Sep 16, 2020.