MR. RUSTIN DYER R.C.E.P. NPI 1669714796

NPI Information

  • NPI: 1669714796
  • Provider Name: MR. RUSTIN DYER, R.C.E.P.
  • Classification: Clinical Exercise Physiologist - 224Y00000X
  • Entity Type: Individual
  • Address: 1932 TRENT WAY
    SOUTH BEND, IN
    ZIP 46614
  • Phone: (574) 904-9828

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NPI Details

MR. Rustin Dyer, R.C.E.P. is a clinical exercise physiologist in South Bend, IN. The provider is a Clinical Exercise Physiologist is a health care professional who is trained to work with patients with chronic disease where exercise training has been shown to be of therapeutic benefit, including but not limited to cardiovascular and pulmonary disease, and metabolic disorders. MR. Rustin Dyer, R.C.E.P. NPI is 1669714796. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1932 TRENT WAY
SOUTH BEND, IN
ZIP 46614-245
Phone: (574) 904-9828

The enumeration date for this NPI number is 3/27/2013 and was last updated on 3/27/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1224Y00000XClinical Exercise PhysiologistYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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