| Doctor Name: | SHANNON M KOSTELAC |
| NPI Number: | 1619990363 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSPT |
| License Number: | PT011740L |
| Business Practice Address: | 290 E Pomfret St Carlisle, PA - 170132579 |
| Business Phone Number: | 7172450400 |
| Business Fax Number: | 7172435688 |
| Mailing Address: | 509 Nursery Dr S, MECHANICSBURG |
| State: | PA |
| Postal Code: | 170557020 |
| Phone Number: | 7177909953 |
| Fax Number: | |
| NPI Enumeration Date: | 07/25/2006 |
| NPI Last Update Date: | 12/15/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT011740L |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |