Roberts, Randy Lee

Roberts, Randy Lee is an individual health care provider with primary practice located at 2575 N Drake Rd , Kalamazoo MI 49006-1358. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. Roberts, Randy Lee can be contacted via phone (269) 342-0206.

Contact Information

Primary practice address
2575 N Drake Rd Kalamazoo MI 49006-1358
Phone: (269) 342-0206
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 5502002106 Michigan

Profile Details

NPI number 1568893147
LBN Legal business name Roberts, Randy Lee
Credentials LPTA
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2013
Last updated Dec 6th, 2013 - about 12 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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Identifiers

StateTypeNumberIssuer
All States NPI 1568893147 NPPES
Michigan Other 5502002106 MICHIGAN LICENSE

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