Organization
SCOTT RANDKLEV PHYSICAL THERAPY P.A.
Active
Organization
SCOTT RANDKLEV PHYSICAL THERAPY P.A.
Active
Other names
Lifestyle Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT RANDKLEV DPT (PRESIDENT)
(208) 431-0268
Entity
Organization
Contact information
Practice address
370 E KATHLEEN AVE STE 500, COEUR D ALENE, ID 83815-5238
(208) 292-1372
(208) 292-1374
Mailing address
1296 S FAIRMONT LOOP, COEUR D ALENE, ID 83814-8932
(208) 431-0268
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
2251X0800X
Orthopedic Physical Therapist
—
—
Other
Enumeration date
03/08/2021
Last updated
03/08/2021
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