Individual provider · Type 1 NPI

Jordan Costello

Athletic Trainer · Phoenix, AZ

NPI number 1962017947 Active

Practice location

4201 E Knox Rd
Phoenix, AZ 85044-4701

Mailing address

490 E Appaloosa Rd
Gilbert, AZ 85296-2959

Other practice locations

  • 10045 E Madero Ave, Mesa, AZ 85209-1399 · (480) 290-8269

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Athletic Trainer 2255A2300XNone listed
Athletic Trainer Primary 2255A2300XATR-009421 (AZ)

Athletic Trainer: Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanc…

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About NPI 1962017947

Jordan Costello's National Provider Identifier is 1962017947, issued on Sep 15, 2020. The primary taxonomy on file is Athletic Trainer (2255A2300X), and the practice location is in Phoenix, AZ. The record was last updated on Jul 8, 2022.