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NPI Code Detail

MEDICARE: CASEY KOSTECKI DPT

MEDICARE:   CASEY  KOSTECKI  DPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist28982MT

General Provider Information

NPI Number : 1801696828
Entity Type Code : Individual
Provider Name (Legal Business Name) : CASEY KOSTECKI DPT
Provider Business Mailing Address
First Line : 25 HERITAGE WAY
Second Line :
City : KALISPELL
State : MT
Zip : 59901-3100
Country : US
Telephone Number : 406-407-7990
Fax Number :
Provider Business Practice Location Address
First Line : 30 LOWER VALLEY RD
Second Line :
City : KALISPELL
State : MT
Zip : 59901-7921
Country : US
Telephone Number : 406-300-4847
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/18/2025
Last Update Date : 03/18/2025

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Directions to “ CASEY KOSTECKI DPT” Practice Location

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