NPI 1366770828 JEREMIAH THOMAS RANDALL PT MOUND CITY KS. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Jeremiah Thomas Randall - NPI: 1366770828

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: JEREMIAH THOMAS RANDALL
NPI Number: 1366770828
Entity Type Code: Individual (1)
Gender: M
Credentials: PT
License Number: 24988
Business Practice Address: 1336 N Walnut St
Iola, KS - 667491601
Business Phone Number: 6203656989
Business Fax Number:
Mailing Address: 10684 W 825 Rd,
MOUND CITY
State: KS
Postal Code: 660569112
Phone Number: 9136450264
Fax Number:
NPI Enumeration Date: 11/21/2009
NPI Last Update Date: 11/21/2009
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 2251S0007X
License Number: 24988
Healthcare Provider Taxonomy:
(Secondary)
N
State: FL
Taxonomy Type: Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Classification: Physical Therapist
Taxonomy Specialization: Sports
Taxonomy Definition:


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