National Provider Identifier

Melanie Costello

Melanie Costello 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.

NPI 1699123505Kenmore, NYMassage Therapist

Profile Overview

NPI
1699123505
Provider Type
Individual
Primary Specialty
Massage Therapist
Enumeration Date
June 01, 2016
Last Updated
June 01, 2016

Practice Location

  • 989 Kenmore Ave
  • Kenmore, NY 14217-2924

Phone: (716) 877-2728

Specialties

  • Massage Therapist (225700000X)
Full Record
NPI
1699123505
Entity Type
Individual
Last Name
Costello
First Name
Melanie
Mailing Street Address
989 Kenmore Ave
Mailing City
Kenmore
Mailing State
NY
Mailing ZIP Code
14217-2924
Mailing Country
US
Mailing Phone
(716) 877-2728
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
June 01, 2016
Last Updated
June 01, 2016
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Massage Therapist (225700000X)