Kirk Christophe Randall in Grandville - Physical Therapist
Kirk Christophe Randall - NPI 1235172826
Kirk Christophe Randall is a Physical Therapist in Grandville, Michigan. Kirk Christophe Randall practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Kirk Christophe Randall is 1235172826. The last update date is 2008-02-12.
Kirk Christophe Randall's current location address is 3753 Basswood Dr Sw, Grandville, Michigan. You can contact this provider via phone number 6163406407 and fax number 6163012882. The mailing address for Kirk Christophe Randall is 3753 Basswood Dr Sw, Grandville, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kirk Christophe Randall |
|---|---|
| Address | 3753 Basswood Dr Sw, Grandville, Michigan |
| Phone Number | 6163406407 |
| Fax Number | 6163012882 |
| Sole Proprietor | Y |
| Credentials | P.T. |
NPI Number Detail
| NPI Number | 1235172826 |
|---|---|
| Provider Enumeration Date | 2006-06-13 |
| Last Updated Date | 2008-02-12 |
Provider Mailing Address Detail
| Address | 3753 Basswood Dr Sw |
|---|---|
| City | Grandville |
| State | Michigan (MI) |
| Post Code | 494182003 |
| Phone Number | 6163406407 |
| Fax Number | 6163012882 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
| Licence No | 5501005678 |
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Definition: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7171532 | MI | AETNA |
Post Comment/ Review Below
What is the unique identifier code issued to Kirk Christophe Randall by the Centers for Medicare & Medicaid Services (CMS)?
The Kirk Christophe Randall has been assigned the NPI (National Provider Identifier) 1235172826. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Kirk Christophe Randall located?
The Kirk Christophe Randall is located at 3753 Basswood Dr Sw, Grandville, MI 494182003.
What is Kirk Christophe Randall's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Kirk Christophe Randall is Physical Therapist, and the taxonomy code that categorizes this field of expertise is 225100000X.
On what date did the Kirk Christophe Randall receive its 1235172826 assignment from the Centers for Medicare & Medicaid Services?
The Kirk Christophe Randall was assigned its 1235172826 by the Centers for Medicare & Medicaid Services on 2006-06-13.
When was the information regarding Kirk Christophe Randall, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Kirk Christophe Randall, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-02-12.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY