DR. Kimberly A. Costello, PT, DPT

NPI #1336143833 in Johnson City, Tennessee

Provider Information

NPI Number: 1336143833
Entity Type: Individual
Name: DR. Kimberly A. Costello, PT, DPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist - Neurology
Credential: PT, DPT
Enumeration Date: Jun 13, 2005
Last Updated: May 19, 2010

Practice Location

Address: 3915 BRISTOL HWY
Address 2: STE 301
City: Johnson City
State: Tennessee
ZIP Code: 37601-1403
Phone: (423) 262-0020

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist - Neurology — Neurology	2251N0400X	Primary
Physical Therapist - Orthopedic — Orthopedic	2251X0800X

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Provider Name	Specialty	City
Allison Wehunt Bourassa, PT, DPT, NCS, ATC	Physical Therapist - Neurology	Johnson City	AI Deep Dive
MR. Scott Bradford Hawes, PT, NCS	Physical Therapist - Neurology	Nashville	AI Deep Dive
PROF. Nancy Sue Darr, PT, DPTSC, NCS	Physical Therapist - Neurology	Brentwood	AI Deep Dive
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Organizations

Provider Name	Specialty	City
Neurology Rehabilitation Services	Physical Therapist - Neurology	Knoxville	AI Deep Dive

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