Individual
DR. KIMBERLY A. COSTELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
3915 BRISTOL HWY, STE 301, JOHNSON CITY, TN 37601-1403
(423) 262-0020
(423) 262-0057
Mailing address
3915 BRISTOL HWY, STE 301, JOHNSON CITY, TN 37601-1403
(423) 262-0020
(423) 262-0057
Taxonomy
Speciality
Code
Description
License number
State
2251N0400X
Neurology Physical Therapist
Primary
PT2422
TN
2251X0800X
Orthopedic Physical Therapist
PT2422
TN
Other
Enumeration date
06/13/2005
Last updated
05/19/2010
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