NPI 1144560848

Randall Jenkins, PTA

Practitioner Physical Therapy Assistant Cheyenne, WY

Practice location

Address: 1982 Chugwater Dr, Cheyenne, WY 82009-9354
Phone: (307) 286-1957

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 0759 (WY)

Other Physical Therapy Assistant providers in Wyoming →

Registry record

NPI: 1144560848
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Feb 2013
Record last updated: 18 Feb 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.