Individual ProviderHerman Adriaan KosterPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address6358 Edgemere Blvd, El Paso, TX 79925-3517(915) 562-8525(915) 845-3152PECOS EnrollmentBased on the most recent information from CMS, provider Herman Adriaan Koster does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1831135318Provider TypeIndividualFull NameKoster, Herman AdriaanCredentialPTGenderMaleSole ProprietorYesEnumeration Date6/21/2006Last Updated11/18/2009Contact InformationPractice LocationPractice Address6358 Edgemere Blvd, El Paso, TX 79925-3517Phone(915) 562-8525Fax(915) 566-3889Mailing LocationMailing Address6724 Desert Canyon Dr, El Paso, TX 79912-7604Phone(915) 845-3152FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense1054971TexasProvider IdentifiersIDDescriptionIssuerID108032703DescriptionMedicaidIssuerUnlistedTexas