Individual provider · Type 1 NPI

Jessica Costello

Physical Therapy Assistant · Montesano, WA

NPI number 1922477116 Active

Practice location

800 N Medcalf Ln
Montesano, WA 98563-1318

Fax (360) 249-2363

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XP1 60235544 (WA)

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 1922477116

Jessica Costello's National Provider Identifier is 1922477116, issued on Sep 17, 2015. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Montesano, WA. The record was last updated on Sep 17, 2015.