IndividualActive
Adislen Costa, PT, DPT
NPI 1831647684 · Physical Therapist · Wyoming, MI
Provider details
- NPI number
- 1831647684
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT, DPT
- Sex
- Female
- Sole proprietor
- Yes
- License
- 5501017889 (MI)
Mailing address
7667 Coconut Dr
Jenison, MI 49428-9170
Registry dates
- Enumerated
- 2016-09-21
- Last updated
- 2016-09-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.