Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dimitry Konstantinov

Individual provider Athletic Trainer · NPI 1316491509

Dimitry Konstantinov is an Athletic Trainer in Henderson, Nevada. Practices as a sole proprietor. Licensed in Nevada.

Licensed in
NV
In the registry since
2016

Practice location Address checks out

1001 Coronado Center Dr
Henderson, NV 89052-3950
Phone: (702) 799-6800
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 0506423 (NV)

Record details

NPI number1316491509
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 5, 2016
Last updated in NPPESAugust 5, 2016
Mailing address10004 Perceval St, Las Vegas, NV 89183-6984

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