David Joseph Kustron
Physical Therapy Assistant
2600 Morehouse Ave
Elkhart
, Indiana 46517-2552
David Joseph Kustron
Physical Therapy Assistant
2600 Morehouse Ave
Elkhart
, Indiana 46517-2552
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About
Features
Specialties
- Physical Therapy Assistant
Languages spoken
- English
Location
First Address
- David Joseph Kustron
- 59568 Ridgewood Dr
- Goshen, IN
- Zip : 46528-9059
- Phone :
Second Address
- David Joseph Kustron
- 2600 Morehouse Ave
- Elkhart, IN
- Zip : 46517-2552
- Phone : (574) 295-8800
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | 06003421A | IN |
National Provider Identifier
| NPI | 1013116391 |
|---|---|
| Provider Name | David Joseph Kustron |
| First Address | Goshen, IN 46528-9059 |
| Second Address | Elkhart, IN 46517-2552 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/07/2007 |
| Last Update Date | 16/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.