Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. KENNETH PATRICK COSTELLO
ActiveMR. KENNETH PATRICK COSTELLO is a Physical Therapy Assistant healthcare provider located in BRENTWOOD, Missouri. NPI 1265586572 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · BRENTWOOD, MO
Registration Details
- NPI Number
- 1265586572
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 23, 2007 (19.515141952839 yrs)
- Last Updated
- Jul 1, 2020
- License
-
2002005830 (MO)
Practice Information
- Address
-
2937 S BRENTWOOD BLVDBRENTWOOD, MO, 63144Browse MO providers · Browse ZIP 63144
- Phone
- 3149613804
- Fax
- 3149611147
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in BRENTWOOD, MO
| Name | Credential | NPI |
|---|---|---|
| ERIN MARIE FRAZIER | MS PT CSCS | 1407965528 |
| MR. BRIAN MICHAEL GRAF | PT ATC | 1154431278 |
| MRS. MICHELLE LYNNE WATSON | MS PT OCS ATC | 1689784613 |
| MS. JULIE CHRISTINE BOKERMANN | MSPT ATC CSCS | 1487765384 |
| JAMES HOST | PT | 1487741013 |
| MR. KEVIN G BUHR | MPT | 1891877072 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.