Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLY GENE RANDOLPH, P.T.
ActivePhysical Therapy Assistant · CODY, WY
Registration Details
- NPI Number
- 1447401104
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 30, 2008 (17.560220172317 yrs)
- Last Updated
- Sep 30, 2008
- License
-
PT-1256 (WY)
Practice Information
- Address
-
1726 BECK AVECODY, WY, 824143925Browse WY providers · Browse ZIP 82414
- Phone
- 3075879866
- Fax
- 3075879867
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in CODY, WY
| Name | Credential | NPI |
|---|---|---|
| MRS. BETH A JOHNSEY | PT | 1497734248 |
| MRS. AMANDA MARIE KOLSTAD | DPT | 1497868673 |
| TIMOTHY P STECKER | MPT | 1306938097 |
| MRS. LYNDA D BROWN | P.T. | 1750438727 |
| MRS. JACKIE L. HALL | P.T. | 1770795627 |
| MRS. JESSICA FRANCINE MCALLISTER | PT, DPT | 1699931378 |
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.