Randall Carter Christopherson PT

NPI 1639184096 - Physical Therapist - 225100000X

NPI Details
NPI 1639184096
Gender Male
Enumeration Date 07/31/2006
Last Updated 06/06/2014
Entity Type Individual
Active Over 10 years ago
Practice Location
109 SOUTH MAIN ST.
SUITE D
LYMAN WY, 82937, US
Phone (307) 747-4627
Fax (307) 787-6212
Business Location
PO BOX 301
109 S. MAIN ST. SUITE D
LYMAN WY, 82937-0301, US
Phone (307) 747-4627
Fax (307) 787-6212
Toxanomy
Taxonomy Code 225100000X
License State Wyoming
License Number PT-0359
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According to our database, Randall Carter Christopherson PT NPI is 1639184096, taxonomy code is 225100000X and license number is PT-0359, license state is located at Wyoming. Randall Carter Christopherson PT physically located at 109 South Main St., Lyman WY, 82937. NPI Number Randall Carter Christopherson PT has the Individual type.

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1639184096 NPI number is provided on an as is basis without warranty of any kind. 1639184096 is maintained by the National Plan & Provider Enumeration System. The contents of Randall Carter Christopherson PT are for informational purposes only.