Michelle D Randolph MSPT

NPI 1649435660 - Physical Therapist - 225100000X

NPI Details
NPI 1649435660
Gender Female
Enumeration Date 07/21/2008
Last Updated 07/01/2009
Entity Type Individual
Active Over 8 years ago
Practice Location
1410 LONG RUN RD
LOUISVILLE KY, 40245-4334, US
Phone (502) 244-8011
Fax (502) 244-6631
Business Location
1410 LONG RUN RD
LOUISVILLE KY, 40245-4334, US
Phone (502) 244-8011
Fax (502) 244-6631
Toxanomy
Taxonomy Code 225100000X
License State Kentucky
License Number 005213
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According to our database, Michelle D Randolph MSPT NPI is 1649435660, taxonomy code is 225100000X and license number is 005213, license state is located at Kentucky. Michelle D Randolph MSPT physically located at 1410 Long Run Rd, Louisville KY, 40245-4334. NPI Number Michelle D Randolph MSPT has the Individual type.

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1649435660 NPI number is provided on an as is basis without warranty of any kind. 1649435660 is maintained by the National Plan & Provider Enumeration System. The contents of Michelle D Randolph MSPT are for informational purposes only.