IndividualActive
Rustin Dyer, R.C.E.P.
NPI 1669714796 · Clinical Exercise Physiologist · South Bend, IN
Provider details
- NPI number
- 1669714796
- Entity type
- Individual
- Primary specialty
- Clinical Exercise PhysiologistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- R.C.E.P.
- Sex
- Male
- Sole proprietor
- Yes
Mailing address
1932 Trent Way
South Bend, IN 46614-2245
Registry dates
- Enumerated
- 2013-03-27
- Last updated
- 2013-03-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.