person
Mr. Randall Clay Cannon, PT
Orthopedic Physical Therapist in Macon, Georgia
NPI 1790136836

Randall Clay Cannon is a Orthopedic Physical Therapist based in Macon, GA and is specialized in Orthopedic. Randall Clay Cannon practices in Macon, GA and has the professional credentials of PT. The NPI Number for Randall Clay Cannon is 1790136836 and holds a License No. PT011885 (Georgia).

The current practice location address for Randall Clay Cannon is 3708 Northside Dr, Macon, GA and can be reached out via phone at 478-745-4203 and via fax at 478-254-5324.

Location: 3708 Northside Dr, Macon, GA, 31210-2404
person
Provider Profile Details
NPI Number
1790136836
Provider Name
Randall Clay Cannon
Credential
PT
Provider Entity Type
Individual
Gender
Male
Address
3708 Northside Dr, Macon, GA, 31210-2404
Phone Number
478-745-4203
Fax Number
478-254-5324
Provider Enumeration Date
06/30/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3708 Northside Dr
City
State
Zip
31210-2404
Phone Number
478-745-4203
Fax Number
478-254-5324
person
Provider Business Mailing Address Details
Address
3708 Northside Dr
City
State
Zip
31210-2404
Phone Number
478-745-4203
Fax Number
478-254-5324
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Physical Therapist
Speciality
Orthopedic
Taxonomy
License No.
PT011885 (Georgia)
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopedic physical therapy theory and practice, and critical inquiry for evidence-based practice.
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