DESIREE ELIZABETH COSTELLO
NPI 1316475163
Massage Therapist in Carson City, NV

Active since May 24, 2017
4250 LOUISE DR, CARSON CITY, NV 89706(775) 530-5133 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 21, 2022, May 24, 2017 (2 updates tracked since 2017).

About Desiree Elizabeth Costello NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DESIREE ELIZABETH COSTELLO (NPI 1316475163) is an individual massage therapist in Carson City, Nevada, licensed in Nevada (NVMT2829) and active in the NPI registry since May 2017.Information from the official NPPES registry record.

NPPES Registry Identity

NPI1316475163
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameDESIREE ELIZABETH COSTELLO
Location Address4250 LOUISE DRCarson City, NV 89706-0607
Mailing Address4250 Louise DrCarson City, NV 89706-0607 · (775) 530-5133
Sole ProprietorYes
Enumeration DateMay 24, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
NPI 1316475163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
License Licensed in NV · NVMT2829
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.

4250 LOUISE DR, Carson City, NV 89706

Other Names 1

Former Name (1)Desiree Elizabeth Meaney

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1316475163, enumerated as an "individual" on May 24, 2017.

The provider is located at 4250 LOUISE DR CARSON CITY, NV 89706 and the phone number is (775) 530-5133.

Massage Therapist with taxonomy code 225700000X.