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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JORDAN COSTELLO

Active

JORDAN COSTELLO is a Athletic Trainer healthcare provider located in PHOENIX, Arizona. NPI 1962017947 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · PHOENIX, AZ

Registration Details

NPI Number
1962017947
Provider Type
Individual
Gender
Female
NPI Issued
Sep 15, 2020 (5.9443180631378 yrs)
Last Updated
Jul 8, 2022
License
ATR-009421 (AZ)

Practice Information

Address
4201 E KNOX RD
PHOENIX, AZ, 850444701
Browse AZ providers · Browse ZIP 85044
Phone
4807598449
Primary Specialty
Athletic Trainer
2255A2300X
Additional Specialty
Athletic Trainer
Additional Specialty
Athletic Trainer

Other Athletic Trainer Providers in PHOENIX, AZ

Name Credential NPI
MICHELLE SUSAN VARNELL ATC 1033181714
MR. FRANK R NEVILLE ATC 1619940145
DR. CHRISTOPHER MENDIAS PHD, ATC 1578536447
LINDSEY M LOUGHRAN MED, ATC 1245209758
MISS MARILYN JOAN HINTZ MS, ATC/L, CSCS 1659316479
JUSTIN DAVID WHITEHOUSE M.A., ATC 1730250861
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.