Randelle K Fuller in Kennewick - Physical Therapist
Randelle K Fuller - NPI 1023237120
Randelle K Fuller is a Physical Therapist in Kennewick, Washington. Randelle K Fuller practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Randelle K Fuller is 1023237120. The last update date is 2019-08-02.
Randelle K Fuller's current location address is 6703 W Rio Grande Ave, Kennewick, Washington. You can contact this provider via phone number 5094605588 and fax number 5097835438. The mailing address for Randelle K Fuller is 6703 W Rio Grande Ave, Kennewick, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Randelle K Fuller |
|---|---|
| Address | 6703 W Rio Grande Ave, Kennewick, Washington |
| Phone Number | 5094605588 |
| Fax Number | 5097835438 |
| Sole Proprietor | N |
| Credentials | MPT |
NPI Number Detail
| NPI Number | 1023237120 |
|---|---|
| Provider Enumeration Date | 2007-04-25 |
| Last Updated Date | 2019-08-02 |
Provider Mailing Address Detail
| Address | 6703 W Rio Grande Ave |
|---|---|
| City | Kennewick |
| State | Washington (WA) |
| Post Code | 993362623 |
| Phone Number | 5094605588 |
| Fax Number | 5097835438 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
| Licence No | PT00010472 |
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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 |
|---|---|---|---|
| 2043848 | WA | -- | |
| 339545 | WA | L&I |
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What is the unique identifier code issued to Randelle K Fuller by the Centers for Medicare & Medicaid Services?
The Randelle K Fuller has been assigned the NPI (National Provider Identifier) 1023237120. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Randelle K Fuller?
The Randelle K Fuller is physically situated at 6703 W Rio Grande Ave, in the city of Kennewick, state of WA, with the postal code 993362623.
What is Randelle K Fuller's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Randelle K Fuller is Physical Therapist, and the taxonomy classification code that categorizes this area of expertise is 225100000X.
On what date did Randelle K Fuller receive its 1023237120 assignment from the Centers for Medicare & Medicaid Services?
The Randelle K Fuller was assigned its 1023237120 on 2007-04-25, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Randelle K Fuller most recently updated or revised?
The details related to Randelle K Fuller, including its address, specialty, and other relevant information, were last updated or revised on 2019-08-02.
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