Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CHRISTA DAWN RANDOLPH, MPT
ActivePhysical Therapy Assistant · BRIDGEPORT, WV
Registration Details
- NPI Number
- 1174508121
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 13, 2005 (20.396444602541 yrs)
- Last Updated
- Jul 12, 2012
- Licenses
-
002526 (WV)002526 (WV)
Practice Information
- Address
-
306 W MAIN STBRIDGEPORT, WV, 263301751Browse WV providers · Browse ZIP 26330
- Phone
- 3048423137
- Fax
- 3048423138
- Primary Specialty
-
Physical Therapy Assistant
225100000X
- Additional Specialty
- Physical Therapy Assistant
Other Physical Therapy Assistant Providers in BRIDGEPORT, WV
| Name | Credential | NPI |
|---|---|---|
| MR. ANDREW E SPATAFORE | MPT | 1790787992 |
| JANELLE SUE HINEMAN | PT | 1548369408 |
| JEANETTE SHANNON-ALIX | — | 1558488916 |
| MR. RANDOLPH D HURST | P.T. | 1578735445 |
| MS. RUTH TUNICK | PT | 1306084819 |
| MR. GARY LEE GROOMS II | MPT | 1851526396 |
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.