IndividualActive
Amanda Costello, ATC, LAT
NPI 1295118164 · Athletic Trainer · Newark, DE
Provider details
- NPI number
- 1295118164
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- ATC, LAT
- Sex
- Female
- Sole proprietor
- Yes
- License
- J3-0000438 (DE)
Practice location
211 Executive Dr
Suite 11
Newark, DE 19702-3357
Phone: (302) 793-1800
Mailing address
211 Executive Dr
Newark, DE 19702-3357
Registry dates
- Enumerated
- 2015-07-09
- Last updated
- 2015-07-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.