Brent Randall in Kimberly - Occupational Therapist
Brent Randall - NPI 1497913123
Brent Randall is a Occupational Therapist in Kimberly, Idaho. Brent Randall practices all healthcare services and medical treatments related to Occupational Therapist. The NPI Number for Brent Randall is 1497913123. The last update date is 2008-05-29.
Brent Randall's current location address is 302 Garnet Dr, Kimberly, Idaho. You can contact this provider via phone number 2087319799. The mailing address for Brent Randall is 302 Garnet Dr, Kimberly, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brent Randall |
|---|---|
| Address | 302 Garnet Dr, Kimberly, Idaho |
| Phone Number | 2087319799 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1497913123 |
|---|---|
| Provider Enumeration Date | 2008-05-29 |
| Last Updated Date | 2008-05-29 |
Provider Mailing Address Detail
| Address | 302 Garnet Dr |
|---|---|
| City | Kimberly |
| State | Idaho (ID) |
| Post Code | 833411931 |
| Phone Number | 2087319799 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Occupational Therapist |
|---|---|
| Taxonomy | 225X00000X |
| Licence No | OT-556 |
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Definition: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federat |
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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Brent Randall by the Centers for Medicare & Medicaid Services?
The Brent Randall has been issued the NPI (National Provider Identifier) 1497913123 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete address where Brent Randall is physically located?
The Brent Randall is situated at the following address: 302 Garnet Dr, Kimberly, ID 833411931.
What is the Brent Randall's area of specialization and corresponding taxonomy classification?
The Brent Randall's specialty field is Occupational Therapist, and it falls under the taxonomy code 225X00000X, which categorizes healthcare providers based on their specialties.
When did Brent Randall receive its 1497913123 assignment?
The Brent Randall was assigned its 1497913123 on 2008-05-29, which is the date when this unique identifier was issued to the organization.
When was the information regarding Brent Randall most recently updated?
The details pertaining to the Brent Randall, including its address, specialty, and other relevant information, were last refreshed on 2008-05-29.