Individual
SHELBY RANDOLPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
3600 LINCOLN WAY, AMES, IA 50014-7595
(515) 663-4824
Mailing address
1215 DUFF AVE, AMES, IA 50010-5469
(515) 239-4400
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
096285
IA
225100000X
Physical Therapist
4263
NE
Other
Enumeration date
02/18/2020
Last updated
09/30/2024
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