Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KEVIN L RANDALL, PT
ActivePhysical Therapy Assistant · COLUMBUS, MS
Registration Details
- NPI Number
- 1699759621
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 2, 2005 (20.384697500412 yrs)
- Last Updated
- Jan 15, 2015
- License
-
PT2980 (MS)
Practice Information
- Address
-
670 LEIGH DRCOLUMBUS, MS, 397053014Browse MS providers · Browse ZIP 39705
- Phone
- 6623281012
- Fax
- 6623281507
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in COLUMBUS, MS
| Name | Credential | NPI |
|---|---|---|
| STEVEN BRADLEY CLARK | MPT | 1760474043 |
| MELISSA BETH CLARK | MPT | 1447242797 |
| MICHAEL C PUTT | PT | 1598757841 |
| AMY SHARP | PT | 1225020589 |
| JANALYN WHITESIDE | PT | 1669464921 |
| MRS. STEPHANIE RENAY WARD | P.T. | 1215909908 |
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.