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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

RANDALL E BOLDT, PT

Active

RANDALL E BOLDT, PT is a Physical Therapy Assistant healthcare provider located in DAVENPORT, Iowa. NPI 1043277155 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · DAVENPORT, IA

Registration Details

NPI Number
1043277155
Provider Type
Individual
Gender
Male
NPI Issued
May 1, 2006 (20.244069506909 yrs)
Last Updated
Sep 23, 2013
Licenses
02562 (IA)
070-008667 (IL)

Practice Information

Address
1008 W 35TH ST
DAVENPORT, IA, 528065827
Browse IA providers · Browse ZIP 52806
Phone
5633242263
Fax
5633240719
Primary Specialty
Physical Therapy Assistant
225100000X
Additional Specialty
Physical Therapy Assistant

Other Physical Therapy Assistant Providers in DAVENPORT, IA

Name Credential NPI
AMY T CASTRO PT 1528054566
JOEL D MASON PT 1023004074
JENNIFER L ORFITELLI PT 1740276781
JASON S STRANG PT 1164418117
KEVIN L SWANSON PT 1942296637
BRANDY L SIMMONS PT 1760473813
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.