Jeremiah Thomas Randall, PT

NPI #1366770828 in Iola, Kansas

Provider Information

NPI Number
1366770828
Entity Type
Individual
Name
Jeremiah Thomas Randall, PT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapist - Sports
Credential
PT
Enumeration Date
Nov 21, 2009
Last Updated
Nov 21, 2009

Practice Location

Address
1336 N WALNUT ST
City
Iola
State
Kansas
ZIP Code
66749-1601
Phone
(620) 365-6989

Specialties & Taxonomy Codes

Specialty
Physical Therapist - SportsSports

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