Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRENT RANDALL
Active Sole ProprietorOccupational Therapist · KIMBERLY, ID
Registration Details
- NPI Number
- 1497913123
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 29, 2008 (17.917365862246 yrs)
- Last Updated
- May 29, 2008
- License
-
OT-556 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
302 GARNET DRKIMBERLY, ID, 833411931Browse ID providers · Browse ZIP 83341
- Phone
- 2087319799
- Primary Specialty
-
Occupational Therapist
225X00000X
Other Occupational Therapist Providers in KIMBERLY, ID
| Name | Credential | NPI |
|---|---|---|
| CHRISTINE RENE REEDS | OT/L | 1912169418 |
| AMY ROEMER | — | 1356087134 |
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.