MEDICARE: CHRISTINA KOESTER

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
1	225100000X	Physical Therapist	1380659	TX

General Provider Information

NPI Number	:	1003599085
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTINA KOESTER

Provider Business Mailing Address
First Line	:	1650 LYNDON FARM CT STE 300
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40223-5005
Country	:	US
Telephone Number	:	334-231-5364
Fax Number	:	334-513-7138

Provider Business Practice Location Address
First Line	:	6501 HARRIS PKWY
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76132-6102
Country	:	US
Telephone Number	:	817-370-9891
Fax Number	:	817-370-9894

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/08/2023
Last Update Date	:	05/08/2026

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Directions to “ CHRISTINA KOESTER ” Practice Location

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