Individual
RANDALL SCOTT DECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1000 FIANNA WAY, FORT SMITH, AR 72919
(479) 201-2000
Mailing address
107 N. LINCOLN, HILLSBORO, KS 67063
(785) 443-5116
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
14-01313
KS
Other
Enumeration date
02/10/2011
Last updated
02/10/2011
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