IndividualActive
Kevin Colasurdo
NPI 1396279147 · Athletic Trainer · Johnston, RI
Provider details
- NPI number
- 1396279147
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- AT00414 (RI)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
21 Irons Ave
Johnston, RI 02919-2707
Phone: (413) 636-5048
Approximate (ZIP-level) locationGet directions
Mailing address
21 Irons Ave
Johnston, RI 02919-2707
Registry dates
- Enumerated
- 2017-04-19
- Last updated
- 2017-04-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.