Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
THOMAS MICHAEL COSTELLO JR., R.EP.T., CNIM
Active2472E0500X · LOUISVILLE, KY
Registration Details
- NPI Number
- 1770064784
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 27, 2018 (7.6520619939579 yrs)
- Last Updated
- Aug 27, 2018
Practice Information
- Address
-
200 E CHESTNUT STLOUISVILLE, KY, 402021831Browse KY providers · Browse ZIP 40202
- Phone
- 5026294800
- Primary Specialty
-
2472E0500X
2472E0500X
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.