Randall W Coeshott in Walnut Creek - Exercise & Sports
Randall W Coeshott - NPI 1477718468
Randall W Coeshott is a Exercise & Sports in Walnut Creek, California. Randall W Coeshott practices all healthcare services and medical treatments related to Exercise & Sports. The NPI Number for Randall W Coeshott is 1477718468. The last update date is 2010-10-19.
Randall W Coeshott's current location address is 1415 Oakland Blvd Ste 100, Walnut Creek, California. You can contact this provider via phone number 9256397768. The mailing address for Randall W Coeshott is 1415 Oakland Blvd Ste 100, Walnut Creek, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Randall W Coeshott |
|---|---|
| Address | 1415 Oakland Blvd Ste 100, Walnut Creek, California |
| Phone Number | 9256397768 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PSY 22560 |
NPI Number Detail
| NPI Number | 1477718468 |
|---|---|
| Provider Enumeration Date | 2008-07-19 |
| Last Updated Date | 2010-10-19 |
Provider Mailing Address Detail
| Address | 1415 Oakland Blvd Ste 100 |
|---|---|
| City | Walnut Creek |
| State | California (CA) |
| Post Code | 945964349 |
| Phone Number | 9256397768 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Exercise & Sports |
|---|---|
| Taxonomy | 103Te1100X |
| Licence No | PSY 22560 |
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Definition: A psychologist with a proficiency in sports psychology that uses psychological knowledge and skills to address optimal performance and well-being of athletes, developmental and social aspects of sports participation, and systemic issues associated wi |
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What is the unique 10-digit identification code issued to Randall W Coeshott by the Centers for Medicare & Medicaid Services?
The Randall W Coeshott has been assigned the NPI (National Provider Identifier) 1477718468 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Randall W Coeshott's physical address?
The Randall W Coeshott is physically located at 1415 Oakland Blvd Ste 100, in the city of Walnut Creek, CA, with the postal code 945964349.
What is the area of specialization for Randall W Coeshott, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Randall W Coeshott is Exercise & Sports, and the corresponding taxonomy code that categorizes this area of expertise is 103Te1100X.
On what date did the Randall W Coeshott receive the assignment of its 1477718468 from the Centers for Medicare & Medicaid Services?
The Randall W Coeshott was issued its 1477718468 by the Centers for Medicare & Medicaid Services on 2008-07-19.
As of what date were the details pertaining to Randall W Coeshott last refreshed?
The information related to the Randall W Coeshott, including its address, specialty, and other relevant details, was last updated on 2010-10-19.