National Provider Identifier
Marie Hasselback-Costa, LMT
Marie Hasselback-Costa, LMT is listed in the NPPES registry with a primary specialty of Massage Therapist in Kenmore, NY and a listed phone number of (716) 877-2728.
Profile Overview
- NPI
- 1255703930
- Provider Type
- Individual
- Primary Specialty
- Massage Therapist
- Enumeration Date
- October 21, 2015
- Last Updated
- October 21, 2015
Practice Location
- 989 Kenmore Ave
- Kenmore, NY 14217-2924
Phone: (716) 877-2728
Mailing Address
- 386 Ideal St
- Buffalo, NY 14206-1109
Specialties
- Massage Therapist (225700000X)
Full Record
- NPI
- 1255703930
- Entity Type
- Individual
- Last Name
- Hasselback-Costa
- First Name
- Marie
- Credential
- LMT
- Mailing Street Address
- 386 Ideal St
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14206-1109
- Mailing Country
- US
- Mailing Phone
- (716) 598-4184
- Practice Street Address
- 989 Kenmore Ave
- Practice City
- Kenmore
- Practice State
- NY
- Practice ZIP Code
- 14217-2924
- Practice Country
- US
- Practice Phone
- (716) 877-2728
- Enumeration Date
- October 21, 2015
- Last Updated
- October 21, 2015
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Massage Therapist (225700000X)