National Provider Identifier
Mary Jo Costello, LMT
Mary Jo Costello, LMT is listed in the NPPES registry with a primary specialty of Massage Therapist in Lockport, NY and a listed phone number of (716) 471-7232.
Profile Overview
- NPI
- 1578267902
- Provider Type
- Individual
- Primary Specialty
- Massage Therapist
- Enumeration Date
- March 29, 2023
- Last Updated
- March 29, 2023
Practice Location
- 50 Rogers Ave
- Lockport, NY 14094-2520
Phone: (716) 471-7232
Mailing Address
- 58 Beverly Ave
- Lockport, NY 14094-2552
Specialties
- Massage Therapist (225700000X)
Full Record
- NPI
- 1578267902
- Entity Type
- Individual
- Last Name
- Costello
- First Name
- Mary
- Middle Name
- Jo
- Credential
- LMT
- Mailing Street Address
- 58 Beverly Ave
- Mailing City
- Lockport
- Mailing State
- NY
- Mailing ZIP Code
- 14094-2552
- Mailing Country
- US
- Mailing Phone
- (716) 434-8530
- Practice Street Address
- 50 Rogers Ave
- Practice City
- Lockport
- Practice State
- NY
- Practice ZIP Code
- 14094-2520
- Practice Country
- US
- Practice Phone
- (716) 471-7232
- Enumeration Date
- March 29, 2023
- Last Updated
- March 29, 2023
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- March 29, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Massage Therapist (225700000X)