Mr. Grant Ryan Koster, PT, MSPT, ATC, CSCS
Mr. Grant Ryan Koster, PT, MSPT, ATC, CSCS is a Specialist in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2006.
- Licensed in
- IL
- In the registry since
- 2006
- Specialties on file
- 2
What do these letters mean?
Practice location Address checks out
6000 W Touhy Ste 202Chicago, IL 60646
Phone: (773) 774-4291
Fax: (773) 774-4527
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapist (primary) | Taxonomy 225100000X · Licence 070012664 (IL) |
|---|---|
| Specialist | Taxonomy 174400000X · Licence 096-001522 (IL) |
Record details
| NPI number | 1043289168 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PT , MSPT , ATC , CSCS |
| Sole proprietor | No |
| NPI enumerated | March 14, 2006 |
| Last updated in NPPES | February 24, 2017 |
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