Search › Indiana › 225100000X
Fred Luster, MPT
NPI 1316480254 · on the registry since 2016 · sole proprietor
Practice
- Address
- 3221 Beacon Pkwy Ste 100
Granger, IN 46530 - Phone
- (574) 647-2930
- Fax
- (574) 647-2935
- Organisation at this address
- Beacon Health, Llc
Beacon Medical Group, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 21
Additional practice sites
- 900 I St Ste 100, La Porte, IN
- 440 Hickory Ln, Nappanee, IN
- 1815 E Ireland Rd Ste 100, South Bend, IN
- 200 E Jackson Blvd Ste 150, Elkhart, IN
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-03-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana