Active NPIIndividual providerSole proprietor

Kostas Andreo, ATC

Specialist/Technologist, Athletic Trainer in Lynn, Massachusetts

NPI Number1114388592
Practice location
131 Range Heights RD, Lynn, MA 01904-1577
Fax
—
Last updated
March 14, 2016

Kostas Andreo is a Specialist/Technologist, Athletic Trainer based in Lynn, MA. Kostas Andreo practices in Lynn, MA and has the professional credentials of ATC. The NPI Number for Kostas Andreo is 1114388592 and holds a License No. 2499 (MA). The current practice location address for Kostas Andreo is 131 Range Heights RD, Lynn, MA 01904-1577 and can be reached out via phone at 617-240-7435.

Provider Profile Details

NPI Number
1114388592
Provider Name
Kostas Andreo
Credential
ATC
Provider Entity Type
Individual
Gender
Male
Address
131 Range Heights RD, Lynn, MA 01904-1577
Phone Number
617-240-7435
Primary Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X
Sole Proprietor
Yes
Provider Enumeration Date
March 14, 2016
Last Update Date
March 14, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
131 Range Heights RD
Lynn, MA 01904-1577
City
Lynn
Zip
01904-1577
Phone Number
617-240-7435
Lynn, MA 01904Get directions →

Provider Business Mailing Address Details

Address
131 Range Heights RD
Lynn, MA 01904-1577
City
Lynn
State
MA
Zip
01904-1577
Phone Number
617-240-7435

License Information

License Number
2499
License State
MA
Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kostas Andreo, ATC?

The NPI number of Kostas Andreo, ATC is 1114388592. It was assigned on March 14, 2016 and is currently active in the NPPES registry.

What is the specialty of Kostas Andreo, ATC?

Kostas Andreo, ATC is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X), licensed in MA under license number 2499.

Where does Kostas Andreo, ATC practice?

The practice location is 131 Range Heights RD, Lynn, MA 01904-1577. The office can be reached at 617-240-7435 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1114388592 directly on the NPPES registry website.

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