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Jennifer Costilla, LMT
NPI 1114047495 · on the registry since 2007 · sole proprietor
Practice
- Address
- 1823 W State St
Fremont, OH 43420 - Phone
- (419) 334-7737
- Fax
- (419) 334-2528
- Organisation at this address
- Rickey Wright Md Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- Massage Therapist
225700000X
- Licence states on file
- OH
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio