Jeremiah Thomas Randall, PT | |
1336 N Walnut St, Iola, KS 66749-1601 | |
(620) 365-6989 | |
Not Available |
Full Name | Jeremiah Thomas Randall |
---|---|
Gender | Male |
Speciality | Physical Therapist - Sports |
Location | 1336 N Walnut St, Iola, Kansas |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1366770828 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2251S0007X | Physical Therapist - Sports | 11-04026 (Kansas) | Primary |
2251S0007X | Physical Therapist - Sports | 24988 (Florida) | Secondary |
Mailing Address | Practice Location Address |
---|---|
Jeremiah Thomas Randall, PT 10684 W 825 Rd, Mound City, KS 66056-9112 Ph: (913) 645-0264 | Jeremiah Thomas Randall, PT 1336 N Walnut St, Iola, KS 66749-1601 Ph: (620) 365-6989 |
John Morris, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 101 S 1st St, Iola, KS 66749 Phone: 620-365-1052 | |
Mr. Benjamin Brandt Taylor, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 305 N Washington Ave, Iola, KS 66749 Phone: 620-431-0887 Fax: 620-431-0887 |