Individual
MR. TERRY L RANDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
175 MEDPARK DR, SOMERSET, KY 42503-2734
(606) 679-1761
(606) 678-0971
Mailing address
175 MEDPARK DR, SOMERSET, KY 42503-2734
(606) 679-1761
(606) 678-0971
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
003180
KY
2255A2300X
Athletic Trainer
AT361
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000225912
BCBS PROVIDER NUMBER
KY
05
—
87031803
—
KY
Enumeration date
07/12/2006
Last updated
07/16/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us