Individual provider · Type 1 NPI

Theresa Randall

Contractor · Wauwatosa, WI

NPI number 1306474952 Active

Practice location

9455 W Watertown Plank Rd Fl 4
Wauwatosa, WI 53226-3559

Specialties and licenses

TaxonomyCodeLicense
Contractor Primary 171W00000XNone listed

Contractor: For the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects including, but not limited to, building wheelchair ramps, widening doorways, modifying personal vehicles, and making other improvements for patient access and movement. This code has no re…

About NPI 1306474952

Theresa Randall's National Provider Identifier is 1306474952, issued on Mar 30, 2020. The primary taxonomy on file is Contractor (171W00000X), and the practice location is in Wauwatosa, WI. The record was last updated on Mar 30, 2020.