Randall, Jeremiah Thomas

Randall, Jeremiah Thomas is an individual health care provider with primary practice located at 1336 N Walnut St , Iola KS 66749-1601. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports, which is considered as his primary health care specialty. Randall, Jeremiah Thomas can be contacted via phone (620) 365-6989.

Contact Information

Primary practice address
1336 N Walnut St Iola KS 66749-1601
Phone: (620) 365-6989
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports 2251S0007X 11-04026 Kansas
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports 2251S0007X 24988 Florida

Profile Details

NPI number 1366770828
LBN Legal business name Randall, Jeremiah Thomas
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 21st, 2009
Last updated Nov 21st, 2009 - about 16 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.

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