Capelle, Randy Thomas
Capelle, Randy Thomas is an individual health care provider with primary practice located at 15620 Edgewood Dr Ste 240 , Baxter MN 56401-6984. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Capelle, Randy Thomas can be contacted via phone (218) 454-7012.Contact Information
Primary practice address
15620 Edgewood Dr Ste 240
Baxter MN 56401-6984
Phone: (218) 454-7012
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 6725 | Minnesota |
Profile Details
NPI number | 1669879730 |
---|---|
LBN Legal business name | Capelle, Randy Thomas |
Credentials | Master of Physical Therapy (MPT) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 4th, 2014 |
Last updated | Mar 7th, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1669879730 | NPPES |
Minnesota | Other | 6725 | MN BOARD OF PHYSICAL THERAPY |
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