Individual provider · Type 1 NPI

Jeremiah Thomas Randall, PT

Sports Physical Therapist · Iola, KS

NPI number 1366770828 Active

Practice location

1336 N Walnut St
Iola, KS 66749-1601

Mailing address

10684 W 825 Rd
Mound City, KS 66056-9112

Specialties and licenses

TaxonomyCodeLicense
Sports Physical Therapist Primary 2251S0007X11-04026 (KS)
Sports Physical Therapist 2251S0007X24988 (FL)

Sports Physical Therapist: 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, medica…

3 other providers at this address

About NPI 1366770828

Jeremiah Thomas Randall, PT's National Provider Identifier is 1366770828, issued on Nov 21, 2009. The primary taxonomy on file is Sports Physical Therapist (2251S0007X), and the practice location is in Iola, KS. The record was last updated on Nov 21, 2009.