# RANDY LEE CARSON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1306292008
- **Gender:** Man
- **Credential:** REHAB THERAPIST

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225400000X | Rehabilitation Practitioner | 02242001 | TX | Yes |
| 225700000X | Massage Therapist | MT032379 | TX | — |

## Other

- **Enumeration date:** 05/11/2016
- **Last updated:** 05/11/2016