Search › California › 225100000X
Rustem Ixanov, MS,PT
NPI 1982771481 · on the registry since 2006
Practice
- Address
- 3550 Round Barn Blvd # 112
Santa Rosa, CA 95403 - Phone
- (707) 566-5488
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-11-16
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 California