Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. KELLY ROSS RANDALL, MS,OTR/L, CLT
Active Sole ProprietorMR. KELLY ROSS RANDALL, MS,OTR/L, CLT is a Occupational Therapist healthcare provider located in GEORGE, Iowa. NPI 1457551285 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · GEORGE, IA
Registration Details
- NPI Number
- 1457551285
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 19, 2007 (19.085257560079 yrs)
- Last Updated
- Jul 19, 2007
- License
-
01563 (IA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
324 1ST AVE NGEORGE, IA, 512371029Browse IA providers · Browse ZIP 51237
- Phone
- 7124753391
- Primary Specialty
-
Occupational Therapist
225X00000X
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.