IndividualActive
Elyse Costello
NPI 1891140778 · Physical Therapy Assistant · Edmonds, WA
Provider details
- NPI number
- 1891140778
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- P160629979 (WA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
21008 76th Ave W
Edmonds, WA 98026-7104
Phone: (425) 778-0107
Approximate (ZIP-level) locationGet directions
Mailing address
21008 76th Ave W
Edmonds, WA 98026-7104
Registry dates
- Enumerated
- 2016-04-28
- Last updated
- 2016-04-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.