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

Vitaliy Kostyukov

Individual provider Physical Therapy Assistant · NPI 1235690314

Vitaliy Kostyukov is a Physical Therapy Assistant in Lansdale, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2019.

Licensed in
PA
In the registry since
2019

Practice location Address checks out

660 N Broad St
Lansdale, PA 19446-2361
Phone: (215) 361-5600
Show map & directions

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

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence TE011703 (PA)

Record details

NPI number1235690314
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 29, 2019
Last updated in NPPESMarch 29, 2019

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