NPI 1225780034

Jared Thomas Randolph

Practitioner Physical Therapy Assistant Owensboro, KY

Practice location

Address: 1614 W Parrish Ave, Owensboro, KY 42301-3535
Phone: (270) 684-4559
Mailing address: 1721 Daniels Ln, Owensboro, KY 42303-9675

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence A02450 (KY)

Other Physical Therapy Assistant providers in Kentucky →

Registry record

NPI: 1225780034
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 Jan 2022
Record last updated: 23 Jan 2022

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.