Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JARED COSTABLE
Active Sole ProprietorPhysical Therapy Assistant · PORTLAND, ME
Registration Details
- NPI Number
- 1366654873
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 4, 2007 (18.991931879911 yrs)
- Last Updated
- Jul 8, 2007
- License
-
PT2905 (ME)
- Sole Proprietor
- Yes
Practice Information
- Address
-
372 PALMER AVENUEPORTLAND, ME, 04103Browse ME providers · Browse ZIP 04103
- Phone
- 2074090718
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in PORTLAND, ME
| Name | Credential | NPI |
|---|---|---|
| MR. ROBERT R. DENTON | PT | 1447254057 |
| DAVID T KNOP | PT | 1497755227 |
| JARED L BUZZELL | P.T. | 1316921612 |
| TIMOTHY P DAVOREN | P.T. | 1588648869 |
| MR. STEPHEN V BECKETT | — | 1942284054 |
| MRS. AIMEE L PIETSCH | PT | 1477525889 |
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.