Individual
KRISTEN M COSTELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
11307 BRIDGEPORT WAY SW, STE 220, LAKEWOOD, WA 98499-3024
(253) 985-2733
(253) 985-2868
Mailing address
11307 BRIDGEPORT WAY SW, STE 220, LAKEWOOD, WA 98499-3024
(253) 985-2733
(253) 985-2868
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00003175
WA
Other
Enumeration date
08/05/2006
Last updated
07/08/2007
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