Individual provider · Type 1 NPI
Dawn M. Costello, LMT
Massage Therapist · Lake Zurich, IL
NPI number
1700173549
Active
Practice location
765 Ela Rd, Ste. 105
Lake Zurich, IL 60047-2385
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 227012961 (IL) |
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 1700173549
Dawn M. Costello, LMT's National Provider Identifier is 1700173549, issued on Jun 30, 2011. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Lake Zurich, IL. The record was last updated on Jun 30, 2011.