Kevin Kostka is a Physical Therapist in Hixson, Tennessee. Kevin Kostka practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Kevin Kostka is 1265494876. The last update date is 2015-01-19.
Kevin Kostka's current location address is 1790 Hamill Rd, Hixson, Tennessee. You can contact this provider via phone number 4238429322 and fax number 1866591061. The mailing address for Kevin Kostka is 1790 Hamill Rd, Hixson, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kevin Kostka |
|---|---|
| Address | 1790 Hamill Rd, Hixson, Tennessee |
| Phone Number | 4238429322 |
| Fax Number | 1866591061 |
| Sole Proprietor | Y |
| Credentials | P.T. |
NPI Number Detail
| NPI Number | 1265494876 |
|---|---|
| Provider Enumeration Date | 2006-04-06 |
| Last Updated Date | 2015-01-19 |
Provider Mailing Address Detail
| Address | 1790 Hamill Rd |
|---|---|
| City | Hixson |
| State | Tennessee (TN) |
| Post Code | 373434905 |
| Phone Number | 4238429322 |
| Fax Number | 1866591061 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
| Licence No | 6817 |
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Definition: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4227742 | TN | BCBS TENN | |
| 3645730 | TN | -- | |
| 11822955 | TN | CAQH |
Post Comment/ Review Below
What is the unique identifier code issued to Kevin Kostka by the Centers for Medicare & Medicaid Services?
The Kevin Kostka has been assigned the NPI (National Provider Identifier) 1265494876. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Kevin Kostka?
The Kevin Kostka is physically situated at 1790 Hamill Rd, in the city of Hixson, state of TN, with the postal code 373434905.
What is Kevin Kostka's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Kevin Kostka is Physical Therapist, and the taxonomy code that categorizes this field of expertise is 225100000X.
On what date did the Kevin Kostka receive the assignment of its 1265494876 from the Centers for Medicare & Medicaid Services?
The Kevin Kostka was issued its 1265494876 by the Centers for Medicare & Medicaid Services on 2006-04-06.
As of what date were the details pertaining to Kevin Kostka last refreshed?
The information related to the Kevin Kostka, including its address, specialty, and other relevant details, was last updated on 2015-01-19.