Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. RUSTEM IXANOV, MS,PT
ActiveMR. RUSTEM IXANOV, MS,PT is a Physical Therapy Assistant healthcare provider located in SANTA ROSA, California. NPI 1982771481 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · SANTA ROSA, CA
Registration Details
- NPI Number
- 1982771481
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 29, 2006 (19.70316490861 yrs)
- Last Updated
- Nov 16, 2021
- License
-
PT 32358 (CA)
Practice Information
- Address
-
3550 ROUND BARN BLVD # 112SANTA ROSA, CA, 954031796Browse CA providers · Browse ZIP 95403
- Phone
- 7075665488
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in SANTA ROSA, CA
| Name | Credential | NPI |
|---|---|---|
| JEFFREY PETER FRANCESCHI | MS PT | 1033181391 |
| PAMELA ANN FRANCESCHI | PT | 1700859204 |
| MR. SAM CARDENAS | P.T. | 1649249921 |
| MS. KATHLEEN DALTON | P.T. | 1851351209 |
| MR. PATRICK DALTON | P.T. | 1265494132 |
| JULIE K LANDECKER | DPT | 1780647693 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.