National Provider Identifier
Russell John Manalastas, DPT, CSCS
Russell John Manalastas, DPT, CSCS is listed in the NPPES registry with a primary specialty of Physical Therapist in Spencerport, NY and a listed phone number of (585) 349-2860.
Profile Overview
- NPI
- 1366672685
- Provider Type
- Individual
- Primary Specialty
- Physical Therapist
- Enumeration Date
- July 21, 2009
- Last Updated
- February 17, 2017
Practice Location
- 37 N Union St
- Spencerport, NY 14559-1244
Phone: (585) 349-2860
Specialties
- Physical Therapist (225100000X)
Full Record
- NPI
- 1366672685
- Entity Type
- Individual
- Last Name
- Manalastas
- First Name
- Russell
- Middle Name
- John
- Name Prefix
- Mr.
- Credential
- DPT, CSCS
- Mailing Street Address
- 37 N Union St
- Mailing City
- Spencerport
- Mailing State
- NY
- Mailing ZIP Code
- 14559-1244
- Mailing Country
- US
- Mailing Phone
- (585) 349-2860
- Mailing Fax
- (585) 349-2995
- Practice Street Address
- 37 N Union St
- Practice City
- Spencerport
- Practice State
- NY
- Practice ZIP Code
- 14559-1244
- Practice Country
- US
- Practice Phone
- (585) 349-2860
- Practice Fax
- (585) 349-2995
- Enumeration Date
- July 21, 2009
- Last Updated
- February 17, 2017
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Therapist (225100000X)