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

MR. ROBERT O. COSTA, LMT

Active Sole Proprietor

MR. ROBERT O. COSTA, LMT is a Massage Therapist healthcare provider located in TIJERAS, New Mexico. NPI 1598963845 is currently active in the NPPES registry. Verify at CMS.

Massage Therapist · TIJERAS, NM

Registration Details

NPI Number
1598963845
Provider Type
Individual
Gender
Male
NPI Issued
Jul 9, 2007 (19.089125884578 yrs)
Last Updated
Nov 13, 2019
License
5365 (NM)
Sole Proprietor
Yes

Practice Information

Address
19 CAMINO LINDA
TIJERAS, NM, 870598041
Browse NM providers · Browse ZIP 87059
Phone
5054176182
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.