Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JEANETTE COSTA, L.M.T
Active Sole ProprietorJEANETTE COSTA, L.M.T is a Massage Therapist healthcare provider located in RANDOLPH, New Jersey. NPI 1376960377 is currently active in the NPPES registry. Verify at CMS.
Massage Therapist · RANDOLPH, NJ
Registration Details
- NPI Number
- 1376960377
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 27, 2014 (12.36124680037 yrs)
- Last Updated
- Jun 30, 2015
- License
-
18KT00073300 (NJ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
400 ROUTE 10 WESTRANDOLPH, NJ, 07869Browse NJ providers · Browse ZIP 07869
- Phone
- 9739458790
- Primary Specialty
-
Massage Therapist
225700000X
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.