| Doctor Name: | RANDY THOMAS CAPELLE |
| NPI Number: | 1669879730 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MPT |
| License Number: | 6725 |
| Business Practice Address: | 2024 S 6th St Brainerd, MN - 564014529 |
| Business Phone Number: | 2188287100 |
| Business Fax Number: | 2188287194 |
| Mailing Address: | 523 North 3rd St. Essentia Health St. Joseph's Medical, Medical Staff Office BRAINERD |
| State: | MN |
| Postal Code: | 56401 |
| Phone Number: | 2188287100 |
| Fax Number: | 2188287194 |
| NPI Enumeration Date: | 12/04/2014 |
| NPI Last Update Date: | 12/04/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 6725 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| 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 |