Individual
DR. TRAVIS KOSTELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9411 N OAK TRFY STE 200, KANSAS CITY, MO 64155-2262
(816) 436-6383
Mailing address
6251 NW 63RD ST APT 1403, KANSAS CITY, MO 64151-3382
(636) 399-0015
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2020016059
MO
Other
Enumeration date
06/18/2020
Last updated
06/18/2020
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