Jennifer L Costilla in Fremont - Massage Therapist
Jennifer L Costilla - NPI 1114047495
Jennifer L Costilla is a Massage Therapist in Fremont, Ohio. Jennifer L Costilla practices all healthcare services and medical treatments related to Massage Therapist. The NPI Number for Jennifer L Costilla is 1114047495. The last update date is 2007-07-08.
Jennifer L Costilla's current location address is 1823 W State St, Fremont, Ohio. You can contact this provider via phone number 4193347737 and fax number 4193342528. The mailing address for Jennifer L Costilla is 1823 W State St, Fremont, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jennifer L Costilla |
|---|---|
| Address | 1823 W State St, Fremont, Ohio |
| Phone Number | 4193347737 |
| Fax Number | 4193342528 |
| Sole Proprietor | Y |
| Credentials | LMT |
NPI Number Detail
| NPI Number | 1114047495 |
|---|---|
| Provider Enumeration Date | 2007-03-30 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1823 W State St |
|---|---|
| City | Fremont |
| State | Ohio (OH) |
| Post Code | 434201635 |
| Phone Number | 4193347737 |
| Fax Number | 4193342528 |
Provider's Primary Taxonomy Detail
| Speciality | Massage Therapist |
|---|---|
| Taxonomy | 225700000X |
| Licence No | 12817 |
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Definition: 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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Post Comment/ Review Below
What is the unique provider identifier assigned to Jennifer L Costilla?
The Jennifer L Costilla has been issued the NPI (National Provider Identifier) 1114047495 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where Jennifer L Costilla is geographically located?
The Jennifer L Costilla is physically situated at the following location: 1823 W State St, Fremont, OH, 434201635.
What is Jennifer L Costilla's area of expertise and its corresponding taxonomy classification?
The Jennifer L Costilla's field of specialization is Massage Therapist, and it falls under the taxonomy code 225700000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1114047495 to Jennifer L Costilla?
The Jennifer L Costilla received its 1114047495 assignment from the Centers for Medicare & Medicaid Services on 2007-03-30.
As of what date was the information regarding Jennifer L Costilla, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jennifer L Costilla, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.