location
search-icon
person
Jennifer L Costilla, LMT
Massage Therapist in Fremont, Ohio
NPI 1114047495

Jennifer L Costilla is a Massage Therapist based in Fremont, OH. Jennifer L Costilla practices in Fremont, OH and has the professional credentials of LMT. The NPI Number for Jennifer L Costilla is 1114047495 and holds a License No. 12817 (Ohio).

The current practice location address for Jennifer L Costilla is 1823 W State St, Fremont, OH and can be reached out via phone at 419-334-7737 and via fax at 419-334-2528.

Location: 1823 W State St, Fremont, OH, 43420-1635
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114047495
Provider Name
Jennifer L Costilla
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
1823 W State St, Fremont, OH, 43420-1635
Phone Number
419-334-7737
Fax Number
419-334-2528
Provider Enumeration Date
03/30/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1823 W State St
City
Fremont
State
Ohio
Zip
43420-1635
Phone Number
419-334-7737
Fax Number
419-334-2528
person
Provider Business Mailing Address Details
Address
1823 W State St
City
Fremont
State
Ohio
Zip
43420-1635
Phone Number
419-334-7737
Fax Number
419-334-2528
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
12817 (Ohio)
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.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.