Doctor Name: | RANDALL CARTER CHRISTOPHERSON |
NPI Number: | 1639184096 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | PT-0359 |
Business Practice Address: | 109 South Main St. Suite D Lyman, WY - 82937 |
Business Phone Number: | 3077474627 |
Business Fax Number: | 3077876212 |
Mailing Address: | Po Box 301, 109 S. Main St. Suite D LYMAN |
State: | WY |
Postal Code: | 829370301 |
Phone Number: | 3077474627 |
Fax Number: | 3077876212 |
NPI Enumeration Date: | 07/31/2006 |
NPI Last Update Date: | 06/06/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT-0359 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WY |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |