Randall J Southard, RPT

NPI #1497865018 in Pittsburg, Kansas

Provider Information

NPI Number: 1497865018
Entity Type: Individual
Name: Randall J Southard, RPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: RPT
Enumeration Date: Aug 30, 2006
Last Updated: Dec 6, 2007

Practice Location

Address: 107 N PINE ST STE A
City: Pittsburg
State: Kansas
ZIP Code: 66762-4743
Phone: (620) 231-5855

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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