Thomas Koesterer, PH.D., ATC

Athletic Trainer · Stockton, CA

Individual Active NPI

NPI number 1992172506

Practice location

3601 Pacific Ave
Stockton, CA 95211-0900
Phone
(707) 834-9863

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NPI record

NPI
1992172506
Entity type
Individual (Type 1)
Enumeration date
August 31, 2015
Last updated
August 10, 2021
Certified
August 10, 2021
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Athletic Trainer Primary 2255A2300X 002306-1 NY

Mailing address

3601 Pacific Ave
Stockton, CA 95211-0110
Phone
(707) 834-9863

About Dr. Koesterer

Thomas Koesterer, PH.D., ATC is a healthcare provider registered in the NPI registry with the primary taxonomy Athletic Trainer (code 2255A2300X). The practice location is 3601 Pacific Ave, Stockton, CA 95211-0900. The NPI number 1992172506 was assigned on August 31, 2015 and the record was last updated on August 10, 2021.

Dr. Koesterer lists a license in the registry: #002306-1 (NY) for Athletic Trainer. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Thomas Koesterer, PH.D., ATC?

The NPI number is 1992172506.

What is the phone number of Dr. Koesterer?

The phone number listed for the practice location is (707) 834-9863.

Where is Dr. Koesterer located?

3601 Pacific Ave, Stockton, CA 95211-0900.

What is the taxonomy code for Dr. Koesterer?

The primary taxonomy code is 2255A2300X – Athletic Trainer.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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