Randall Jenkins, PTA

NPI #1144560848 in Cheyenne, Wyoming

Provider Information

NPI Number: 1144560848
Entity Type: Individual
Name: Randall Jenkins, PTA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Feb 18, 2013
Last Updated: Feb 18, 2013

Practice Location

Address: 1982 CHUGWATER DR
City: Cheyenne
State: Wyoming
ZIP Code: 82009-9354
Phone: (307) 286-1957

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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