Jordan Costello
Jordan Costello is a Student in an Organized Health Care Education/Training Program in Phoenix, Arizona. Works from 2 locations. Licensed in Arizona.
- Licensed in
- AZ
- In the registry since
- 2020
- Specialties on file
- 3
Practice location Address checks out
Phoenix, AZNo coordinates on file. Search this address in Google Maps
Additional practice locations (1)
- 10045 E Madero Ave, Mesa, AZ 85209-1399 — (480) 290-8269
Specialties & licences
| Athletic Trainer (primary) | Taxonomy 2255A2300X · Licence ATR-009421 (AZ) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
| Athletic Trainer | Taxonomy 2255A2300X |
Record details
| NPI number | 1962017947 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | September 15, 2020 |
| Last updated in NPPES | July 8, 2022 |
| Certification date | July 8, 2022 |
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