IndividualActive
Kostantinos Vasalos
NPI 1235311218 · Sports Physical Therapist · Rochester, NY
Provider details
- NPI number
- 1235311218
- Entity type
- Individual
- Primary specialty
- Sports Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 026332 (NY)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
4901 Lacdeville Blvd
Building D Suite 110
Rochester, NY 14618-5647
Phone: (585) 341-9150
Approximate (ZIP-level) locationGet directions
Mailing address
4901 Lacdeville Blvd
Rochester, NY 14618-5647
Registry dates
- Enumerated
- 2007-11-30
- Last updated
- 2007-11-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.