Whalio Doctors

NPI 1023237120

Randelle K Fuller, MPT

Practitioner Physical Therapist Kennewick, WA

Practice location

Address
15 W 10th Ave, Kennewick, WA 99336-6371
Phone
(509) 582-6335
Fax
(509) 582-6375
Mailing address
8200 W Gage Blvd, Kennewick, WA 99336-8113

Registered specialties

Physical Therapist Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence PT00010472 (WA)

Registry record

NPI
1023237120
Entity type
Individual
Sex (as registered)
Female
NPI issued
25 Apr 2007
Record last updated
16 Oct 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.