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Jeremiah Thomas Randall, PT
Sports Physical Therapist in Iola, Kansas
NPI 1366770828

Jeremiah Thomas Randall is a Sports Physical Therapist based in Mound City, KS and is specialized in Sports. Jeremiah Thomas Randall practices in Iola, KS and has the professional credentials of PT. The NPI Number for Jeremiah Thomas Randall is 1366770828 and holds a License No. 11-04026 (Kansas).

The current practice location address for Jeremiah Thomas Randall is 1336 N Walnut St, Iola, KS and can be reached out via phone at 620-365-6989. You can also correspond with Jeremiah Thomas Randall through the mailing address at 10684 W 825 RD, MOUND CITY, KS - 66056-9112 (mailing address contact number: 913-645-0264).

Location: 1336 N Walnut St, Iola, KS, 66056-9112
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366770828
Provider Name
Jeremiah Thomas Randall
Credential
PT
Provider Entity Type
Individual
Gender
Male
Address
1336 N Walnut St, Iola, KS, 66056-9112
Phone Number
620-365-6989
Fax Number
Provider Enumeration Date
11/21/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1336 N Walnut St
City
Iola
State
Kansas
Zip
66749-1601
Phone Number
620-365-6989
Fax Number
person
Provider Business Mailing Address Details
Address
1336 N Walnut St
City
Iola
State
Kansas
Zip
66749-1601
Phone Number
620-365-6989
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Physical Therapist
Speciality
Sports
Taxonomy
2251S0007X
License No.
11-04026 (Kansas)
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Sports Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science, pathology and pathophysiology, medical and surgical intervention, and health and wellness, as well as rehabilitation/return to sports, management of acute injury/illness, medical and surgical consideration, injury prevention, and sports performance enhancement.
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