Ryan Philip Costello

NPI #1023978582 in Bridgewater, Virginia

Provider Information

NPI Number: 1023978582
Entity Type: Individual
Name: Ryan Philip Costello
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Nov 17, 2025
Last Updated: Nov 17, 2025

Practice Location

Address: 402 E COLLEGE ST
City: Bridgewater
State: Virginia
ZIP Code: 22812-1511
Phone: (703) 398-6836

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist/Technologist - Athletic Trainer — Athletic Trainer	2255A2300X
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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