Individual provider · Type 1 NPI

Ryan Philip Costello

Student in an Organized Health Care Education/Training Program · Bridgewater, VA

NPI number 1023978582 Active

Practice location

402 E College St
Bridgewater, VA 22812-1511

Call (703) 398-6836 Map

Mailing address

113 Cindie Ln
Bridgewater, VA 22812-9218

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1023978582

Ryan Philip Costello's National Provider Identifier is 1023978582, issued on Nov 17, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Bridgewater, VA. The record was last updated on Nov 17, 2025.