NPI 1043277155

Randall E Boldt, PT

Practitioner Physical Therapist Davenport, IA

Practice location

Address: 1008 W 35th St, Davenport, IA 52806-5827
Phone: (563) 324-2263
Fax: (563) 324-0719
Mailing address: 850 43rd Ave STE 100, Moline, IL 61265-8401

Registered specialties (2)

Physical Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence 02562 (IA)

Other Physical Therapist providers in Iowa →

Physical Therapist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence 070-008667 (IL)

Registry record

NPI: 1043277155
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 May 2006
Record last updated: 23 Sep 2013

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.