Mr Coy Randell Harris, is a
Massage Therapist based in Russell Springs, Kentucky. Mr Coy Randell Harris is licensed to practice in Kentucky (license number KY-0253) and his current practice location is
401 Comanche Way, Russell Springs, Kentucky. He can be reached at his office (for appointments etc.) via phone at
(270) 585-3808.
NPI number for Mr Coy Randell Harris is 1982819496 and his current mailing address is 401 Comanche Way, Russell Springs, Kentucky. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1982819496.
Healthcare Provider's Profile
Full Name | Mr Coy Randell Harris |
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Gender | Male |
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Speciality | Massage Therapist |
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Location | 401 Comanche Way, Russell Springs, Kentucky |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1982819496
- Provider Enumeration Date: 05/10/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mr Coy Randell Harris such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1982819496 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225700000X | Massage Therapist | KY-0253 (Kentucky) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Coy Randell Harris is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mr Coy Randell Harris, 401 Comanche Way, Russell Springs, KY 42642-4134 Ph: (270) 585-3808 | Mr Coy Randell Harris, 401 Comanche Way, Russell Springs, KY 42642-4134 Ph: (270) 585-3808 |
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