Individual provider · Type 1 NPI

Brant Edward Costilla, PTA

Physical Therapy Assistant · Bedford, TX

NPI number 1316554595 Active

Practice location

2112 Forum Pkwy
Bedford, TX 76021-6028

Call (817) 799-4909 Map

Mailing address

1814 Wood Duck Ct
Midlothian, TX 76065-9427

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X2131372 (TX)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1316554595

Brant Edward Costilla, PTA's National Provider Identifier is 1316554595, issued on Sep 30, 2020. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Bedford, TX. The record was last updated on Sep 30, 2020.