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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MICHELLE LEE COSTA, MA

Active

Athletic Trainer · NORTH PROVIDENCE, RI

Registration Details

NPI Number
1184333684
Provider Type
Individual
Gender
Female
NPI Issued
Nov 23, 2022 (3.411181818841 yrs)
Last Updated
Oct 30, 2025
License
TAT02357 (RI)

Practice Information

Address
2067 MINERAL SPRING AVE STE 2
NORTH PROVIDENCE, RI, 029111824
Browse RI providers · Browse ZIP 02911
Phone
4016025652
Primary Specialty
Athletic Trainer
225500000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.