Whalio Doctors

NPI 1013116391

David Joseph Kustron, PTA

Practitioner Physical Therapy Assistant Elkhart, IN

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
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 06003421A (IN)

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.