DR. TAMMY LYNNE COSTELLO (NPI# 1558456202) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558456202 |
| Entity Type | Individual |
| Full Name | DR. TAMMY LYNNE COSTELLO |
| Credential | DC |
| Practice Address |
1151 Robert Grissom Pkwy Myrtle Beach SC 29577-5664 |
| Mailing Address |
1151 Robert Grissom Pkwy Myrtle Beach SC 29579 |
| Practice Telephone | 8438395588 |
| Practice Fax Number | 8438395591 |
| Mailing Telephone | 8438395588 |
| Mailing Fax Number | 8438395591 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2009-05-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111NS0005X |
Chiropractor Specialization: Sports Physician |
SC2755 | SC | Chiropractic Providers |
| Street Address |
1151 ROBERT GRISSOM PKWY |
| City | MYRTLE BEACH |
| State | SC |
| Zip Code | 29577-5664 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902168503 | Sweis Family Wellness LLC | Chiropractor | 1151 Robert Grissom Pkwy, Myrtle Beach, SC 29577-5664 | 2012-06-11 |
| 1700048949 | Tiffany Stiebel Butler | Chiropractor | 1151 Robert Grissom Pkwy, Myrtle Beach, SC 29577-5664 | 2008-06-30 |
| 1851580864 | Mary Sweis | Chiropractor | 1151 Robert Grissom Pkwy, Myrtle Beach, SC 29577-5664 | 2007-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124536446 | Well Care Home Health of The Lowcountry | Home Health | 1039 44th Ave N Ste 101, Myrtle Beach, SC 29577 | 2018-01-22 |
| 1518470913 | Guillot Enterprises, LLC | Hearing Instrument Specialist | 1294 Professional Dr., Suite C, Myrtle, SC 29577 | 2017-11-08 |
| 1598288227 | Ryan Shepherd | Pharmacist | 1705 South Kings Highway, Myrtle Beach, SC 29577 | 2017-07-25 |
| 1184176554 | Shannon Long | Counselor | 1293 Professional Drive, Suite D Office 222, Myrtle Beach, SC 29577 | 2016-11-01 |
| 1265898191 | Coastal Carolina Infectious Disease, LLC | Internal Medicine | 1110 London St Ste 102, Myrtle Beach, SC 29577 | 2016-01-07 |
| 1548639933 | Susan Lang | Social Worker | 1273 Professional Dr., Suite A #104, Myrtle Beach, SC 29577 | 2015-09-16 |
| 1043600893 | Kenneth Edward Smith | Counselor | 1125 48th Avenue North, Myrtle Beach, SC 29577 | 2015-02-02 |
| 1902203615 | Sc Nursing Services LLC | Home Infusion | 1297 Professional Drive, Suite 201 C3, Myrtle Beach, SC 29577 | 2014-11-24 |
| 1881007946 | Intercoastal Endo, PC | Dentist | 4382 Oleander Dr, Myrtle Beach, SC 29577 | 2014-06-06 |
| 1891115739 | Julie Hite | Pharmacist | 540 Seaboard Street, Myrtle Beach, SC 29577 | 2014-04-18 |
| Find all providers in zip 29577 | ||||
| Taxonomy Code | 111NS0005X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| Specialization | Sports Physician |
| A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities. |
| Notes: Source: American Chiropractic Board of Sports Physicians, 2009 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649331380 | Life Line Chiropractic | Chiropractor | Life Line Chiropractic, 1151 Robert Grissom Pkwy, Myrtle Beach, SC 29577 | 2006-12-13 |
| 1467521971 | Timothy B O Neill | Chiropractor | 3975 Dick Pond Rd, Myrtle Beach, SC 29588-6800 | 2006-11-07 |
| 1578602025 | Timothy B. O'neill, Dc, Pa | Chiropractor | 3975 Dick Pond Rd, Myrtle Beach, SC 29588-6800 | 2007-02-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740889856 | Avery Reed Smith | Chiropractor | 29 Plantation Park Dr Ste 109, Bluffton, SC 29910-9010 | 2020-10-20 |
| 1811502354 | Fig Consulting LLC | Chiropractor | 201 Oakbrook Ln Ste 255, Summerville, SC 29485-7538 | 2020-09-11 |
| 1740727676 | Reyes Family Chiropractic | Chiropractor | 1890 Sam Rittenberg Blvd Ste 223, Charleston, SC 29407-4801 | 2017-01-30 |
| 1194005157 | Southeast Sports Chiropractic, LLC | Chiropractor | 115 Southport Rd, Unit F, Spartanburg, SC 29306-3813 | 2011-08-23 |
| 1174785901 | O'neill Chiropractic | Chiropractor | 3640b Ashley Phosphate Rd, North Charleston, SC 29418-8501 | 2008-07-02 |
| 1609051036 | Gray's Pain Relief Center, LLC | Chiropractor | 103c Spring Hall Dr, Goose Creek, SC 29445-5336 | 2008-01-03 |
| 1689855157 | Dr Jim A Troxell Pa | Chiropractor | 802 13th Ave S, North Myrtle Beach, SC 29582-3816 | 2007-11-26 |
| 1760674261 | Palmetto Physical Medicine | Chiropractor | 237 S Herlong Ave, Rock Hill, SC 29732-1159 | 2007-08-17 |
| 1114133931 | Bruce D. Mikota,d.c.,p.a. | Chiropractor | 111 W Rutledge Ave, Gaffney, SC 29340-2232 | 2007-05-16 |
| 1447395009 | Thomas Grant Gibble | Chiropractor | 435 William Hilton Pkwy, Hilton Head, SC 29926-2440 | 2007-02-21 |
| Find all providers with the same taxonomy | ||||
| City | MYRTLE BEACH |
| Zip Code | 29577 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.