Individual
STEVEN MASON COSTELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPHT
Contact information
Practice address
4914 CAMBORNE CIR, MURFREESBORO, TN 37129-8644
(423) 432-6560
Mailing address
4914 CAMBORNE CIR, MURFREESBORO, TN 37129-8644
(423) 432-6560
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/03/2022
Last updated
10/03/2022
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