Individual provider · Type 1 NPI
Thomas Michael Costello Jr., R.EP.T., CNIM
EEG Technician · Louisville, KY
NPI number
1770064784
Active
Practice location
200 E Chestnut St
Louisville, KY 40202-1831
Mailing address
2838 Plantation Ct
Sellersburg, IN 47172-9172
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| EEG Technician Primary | 2472E0500X | None listed |
EEG Technician: Definition to come...
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About NPI 1770064784
Thomas Michael Costello Jr., R.EP.T., CNIM's National Provider Identifier is 1770064784, issued on Aug 27, 2018. The primary taxonomy on file is EEG Technician (2472E0500X), and the practice location is in Louisville, KY. The record was last updated on Aug 27, 2018.