# KALOS SPORTS PERFORMANCE LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649895590
- **Authorized official:** JONATHAN WALLENDER (PHSICAL THERAPIST/OWNER)
- **Authorized official phone:** (609) 364-3003

## Contact information

- **Practice address:** 1 N HAVEN ST STE 3, BALTIMORE, MD 21224-1614
- **Practice address phone:** (609) 364-3003
- **Mailing address:** 1203 MCCLEARY TER APT 108, BEL AIR, MD 21014-4546
- **Mailing address phone:** (609) 364-3003

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2000X | Physical Therapy Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/16/2020
- **Last updated:** 06/16/2020