NPI 1023978582
Ryan Philip Costello
Practice location
- Address
- 402 E College St, Bridgewater, VA 22812-1511
- Phone
- (703) 398-6836
- Mailing address
- 113 Cindie Ln, Bridgewater, VA 22812-9218
Registered specialties (2)
Student in an Organized Health Care Education/Training Program
Primary
Athletic Trainer
Registry record
- NPI
- 1023978582
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 17 Nov 2025
- Record last updated
- 17 Nov 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.