Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JEREMIAH THOMAS RANDALL, PT
ActiveJEREMIAH THOMAS RANDALL, PT is a Environmental Modification (OT) healthcare provider located in IOLA, Kansas. NPI 1366770828 is currently active in the NPPES registry. Verify at CMS.
Environmental Modification (OT) · IOLA, KS
Registration Details
- NPI Number
- 1366770828
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 21, 2009 (16.741983608693 yrs)
- Last Updated
- Nov 21, 2009
- Licenses
-
11-04026 (KS)24988 (FL)
Practice Information
- Address
-
1336 N WALNUT STIOLA, KS, 667491601Browse KS providers · Browse ZIP 66749
- Phone
- 6203656989
- Primary Specialty
-
Environmental Modification (OT)
2251S0007X
- Additional Specialty
- Environmental Modification (OT)
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.