NPI 1669714796

Rustin Dyer, RCEP

Practitioner Clinical Exercise Physiologist South Bend, IN

Practice location

Address: 1932 Trent Way, South Bend, IN 46614-2245
Phone: (574) 904-9828

Registered specialties

Clinical Exercise Physiologist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Y00000X

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Registry record

NPI: 1669714796
Entity type: Individual
Sex (as registered): Male
NPI issued: 27 Mar 2013
Record last updated: 27 Mar 2013

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.