Rustin Dyer, R.C.E.P.

Clinical Exercise Physiologist · South Bend, IN

Individual Active NPI

NPI number 1669714796

Practice location

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

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NPI record

NPI
1669714796
Entity type
Individual (Type 1)
Enumeration date
March 27, 2013
Last updated
March 27, 2013
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Clinical Exercise Physiologist Primary 224Y00000X — —

About Rustin Dyer

Rustin Dyer, R.C.E.P. is a healthcare provider registered in the NPI registry with the primary taxonomy Clinical Exercise Physiologist (code 224Y00000X). The practice location is 1932 Trent Way, South Bend, IN 46614-2245. The NPI number 1669714796 was assigned on March 27, 2013 and the record was last updated on March 27, 2013.

Frequently asked questions

What is the NPI number of Rustin Dyer, R.C.E.P.?

The NPI number is 1669714796.

What is the phone number of Rustin Dyer?

The phone number listed for the practice location is (574) 904-9828.

Where is Rustin Dyer located?

1932 Trent Way, South Bend, IN 46614-2245.

What is the taxonomy code for Rustin Dyer?

The primary taxonomy code is 224Y00000X – Clinical Exercise Physiologist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.