MEDICARE: KEVIN KOSTKA P.T.

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	6817	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	4227742	OTHER	TN	BCBS TENN
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	11822955	OTHER	TN	CAQH

General Provider Information

NPI Number	:	1265494876
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KEVIN KOSTKA P.T.

Provider Business Mailing Address
First Line	:	1790 HAMILL RD
Second Line	:
City	:	HIXSON
State	:	TN
Zip	:	37343-4905
Country	:	US
Telephone Number	:	423-842-9322
Fax Number	:	186-659-1061

Provider Business Practice Location Address
First Line	:	1790 HAMILL RD
Second Line	:
City	:	HIXSON
State	:	TN
Zip	:	37343-4905
Country	:	US
Telephone Number	:	423-842-9322
Fax Number	:	866-591-0619

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

Provider Enumeration Date	:	04/06/2006
Last Update Date	:	01/19/2015

Similar Medicare Providers

1972568798 — DR. DOUGLAS A. LIENING M.D.
Practice Location Address:

1724 HAMILL ROAD , STE 102, OASIS PARK BUILDING I
HIXSON, TN
37343-4905

Practice Phone: 423-267-6738
Practice Fax: 423-209-9106

1770541104 — DR. HATHAWAY K HARVEY M.D.
Practice Location Address:

1724 HAMIL ROAD , STE 102 OASIS PARK BUILDING I
HIXSON, TN
37343-4905

Practice Phone: 423-267-6738
Practice Fax: 423-209-9106

1891733143 — TIMOTHY DANIEL DOTSON DPT
Practice Location Address:

1790 HAMILL RD
HIXSON, TN
37343-4905

Practice Phone: 423-771-4600
Practice Fax: 423-771-4601

1871647602 — ASSOCIATES IN EAR, NOSE, THROAT/HEAD AND NECK
Practice Location Address:

1724 HAMIL ROAD , STE 102 OASIS PARK BUILDING I
HIXSON, TN
37343-4905

Practice Phone: 423-267-6738
Practice Fax: 423-209-9106

1891995940 — DR. ROBERT GEORGE MYNATT M.D.
Practice Location Address:

1724 HAMILL ROAD , STE 102, OASIS PARK BUILDING I
HIXSON, TN
37343-4905

Practice Phone: 423-267-6738
Practice Fax: 423-209-9106

1447424478 — AMY STEVENSON M.A., CCC-A
Practice Location Address:

1724 HAMILL RD , OASIS PARK BUILDING I, SUITE 102
HIXSON, TN
37343-4905

Practice Phone: 423-209-9111
Practice Fax: 423-209-9106

Directions to “ KEVIN KOSTKA P.T.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.