Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Cheryl Jane Costello, PTA

Individual provider Skilled Nursing Facility · NPI 1376858753

Mrs. Cheryl Jane Costello, PTA is a Skilled Nursing Facility in Moline, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2010
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

833 16th Ave
Moline, IL 61265-3808
Phone: (309) 764-6744
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X · Licence 160.004681 (IL)

Record details

NPI number1376858753
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorYes
NPI enumeratedAugust 10, 2010
Last updated in NPPESAugust 10, 2010

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