Individual provider · Type 1 NPI

Kelly Randell, PTA

Physical Therapy Assistant · St. Louis, MO

NPI number 1376935791 Active

Practice location

11960 Westline Industrial Dr, Suite 201
St. Louis, MO 63146-3209

Call (314) 819-0480 Map

Fax (314) 275-7444

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X117058 (MO)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1376935791

Kelly Randell, PTA's National Provider Identifier is 1376935791, issued on Feb 22, 2015. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in St. Louis, MO. The record was last updated on Feb 22, 2015.