Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KRISTY LYNN RANDALL, PTA
Active Sole ProprietorKRISTY LYNN RANDALL, PTA is a Contractor healthcare provider located in HORATIO, Arkansas. NPI 1871718999 is currently active in the NPPES registry. Verify at CMS.
Contractor · HORATIO, AR
Registration Details
- NPI Number
- 1871718999
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 16, 2007 (19.184241730763 yrs)
- Last Updated
- Jul 8, 2007
- License
-
PTA1306 (AR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
338 RANDALL RDHORATIO, AR, 718428896Browse AR providers · Browse ZIP 71842
- Phone
- 8708324506
- Primary Specialty
-
Contractor
171W00000X
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.