JENNIFER L COSTILLA


Address: 1823 W State St, Fremont, OH 43420-1635
Phone: 4193347737

JENNIFER L COSTILLA (NPI# 1114047495) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1114047495
Entity Type Individual
Full Name JENNIFER L COSTILLA
Credential LMT
Practice Address 1823 W State St
Fremont
OH 43420-1635
Practice Telephone 4193347737
Practice Fax Number 4193342528
Mailing Telephone 4193347737
Mailing Fax Number 4193342528
Enumeration Date 2007-03-30
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225700000X Massage Therapist 12817 OH Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 1823 W STATE ST
City FREMONT
State OH
Zip Code 43420-1635

Providers in the same location

NPI Name Taxonomy Address Enumeration
1780866525 Woodville Professional Healthcare LLC Chiropractor 1823 W State St, Fremont, OH 43420-1635 2007-12-04
1215137567 Rickey Wright Md LLC General Practice 1823 W State St, Fremont, OH 43420-1635 2007-07-24
1629090956 Rickey Wright General Practice 1823 W State St, Fremont, OH 43420-1635 2006-07-24

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1225596570 Trisha D Hamm Nurse Practitioner Walk In Urgent Care, 2180 Sean Dr., #6b, Fremont, OH 43420 2019-03-06
1558886051 Kortney Blair Potridge Homemaker 1718 Buckland Avenue, Fremont, OH 43420 2017-08-07
1699134015 Gentle Caring Dentistry of Fremont Ohio Dentist 2430 Enterprise St, Fremont, OH 43420 2016-02-12
1033574587 Alyssa Dickman Physical Therapy Assistant 1310 Chestnut St, Fremont, OH 43420 2015-12-29
1437566734 Michael Allen Koebel Registered Nurse 1728 Oak Harbor Rd, Fremont, OH 43420 2014-07-18
1598183774 Harry D. Burger Dentist 567 Bartson Rd., Fremont, OH 43420 2014-04-03
1750706636 Lori Fisher Registered Nurse 500 W. State St., Suite A, Fremont, OH 43420 2014-02-28
1699113001 Cora Renea Minich Massage Therapist 510 Court Street, Fremont, OH 43420 2013-06-07
1477850071 Parschauer Eye Center Inc Eyewear Supplier (Equipment, not the service) 126 S. Front St, Fremont, OH 43420 2011-02-16
1316260839 Marla D Carlisle Physician Assistant 605 Third Avenue, Suite B, Fremont, OH 43420 2010-03-11
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Taxonomy Information

Taxonomy Code 225700000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Massage Therapist

Taxonomy 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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1437632437 Claire Marie J Derks Massage Therapist 119 North Stone Road, Fremont, MI 49412 2018-09-14
1578952172 Donna Elane Lee Massage Therapist 37250 Sequoia Cmn, 1031, Fremont, CA 94536-1928 2015-01-20
1316367550 Hai Ying Liu Massage Therapist 43195 Mission Blvd Ste B5, Fremont, CA 94539-5340 2014-04-25
1518390301 Therapeutic Massage Solutions, LLC Massage Therapist 510 Court St, Fremont, OH 43420-2408 2013-08-15
1699113001 Cora Renea Minich Massage Therapist 510 Court Street, Fremont, OH 43420 2013-06-07
1962700914 Megumi Burr-tolliver Massage Therapist 4117 Stevenson Blvd Apt 216, Fremont, CA 94538-2710 2011-02-28
1558561787 Nancy Yvonne Estep Massage Therapist 2274 W State St, Fremont, OH 43420-1439 2007-07-25
1376747139 Kimberly Ann Hoffman Massage Therapist 125 N Prospect St, Fremont, OH 43420-4246 2007-06-13
1790805638 Jamie Lynn Hrynciw Massage Therapist 1320 E State St Ste B, Fremont, OH 43420-4366 2007-03-31
1700483575 Karen Lynn Fokes Massage Therapist 555 Mowry Ave Ste E, Fremont, CA 94536-4101 2020-10-05
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Competitor

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City FREMONT
Zip Code 43420

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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