NPI 1013116391
David Joseph Kustron, PTA
Practice location
- Address
- 2600 Morehouse Ave, Elkhart, IN 46517-2552
- Phone
- (574) 295-8800
- Mailing address
- 59568 Ridgewood Dr, Goshen, IN 46528-9059
Registered specialties
Physical Therapy Assistant
Primary
Registry record
- NPI
- 1013116391
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 16 Jul 2007
- Record last updated
- 16 Jul 2007
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.