Individual
RANDY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
5360 SUMMIT BRIDGE RD STE 6, MIDDLETOWN, DE 19709-4806
(302) 342-8451
Mailing address
1200 CORPORATE DR STE 400, HOOVER, AL 35242-5424
(423) 238-7217
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
J1-0002626
DE
225100000X
Physical Therapist
PT020577
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1417268111
—
DE
01
—
P01300282
RAILROAD MEDICARE
DE
Enumeration date
06/28/2010
Last updated
03/04/2025
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