Provider Demographics
NPI:1649587056
Name:KOSCS, KRISTIN ASHLEY (PT)
Entity Type:Individual
Prefix:DR
First Name:KRISTIN
Middle Name:ASHLEY
Last Name:KOSCS
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MARLBORO
Mailing Address - State:NJ
Mailing Address - Zip Code:07746-1439
Mailing Address - Country:US
Mailing Address - Phone:732-431-2155
Mailing Address - Fax:732-431-2889
Practice Address - Street 1:17 N MAIN ST
Practice Address - Street 2:
Practice Address - City:MARLBORO
Practice Address - State:NJ
Practice Address - Zip Code:07746-1439
Practice Address - Country:US
Practice Address - Phone:732-431-2155
Practice Address - Fax:732-431-2889
Is Sole Proprietor?:No
Enumeration Date:2010-09-07
Last Update Date:2023-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS11-07228225100000X
PAPT030508225100000X
NY049583-01225100000X
IL070.026538225100000X
ALPTH10764225100000X
MEPT6184225100000X
MI5501302020225100000X
CT13507225100000X
NMPT6110225100000X
FLPT38632225100000X
VT040.0134431225100000X
NJ40 QA01336700225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist