Individual
MRS. MCKENZIE MARIE RANDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT, PT, ATC
Contact information
Practice address
200 PAUL GUST RD STE 109, CHAMBERLAIN, SD 57325-1021
(605) 234-0165
(605) 234-0164
Mailing address
34358 254TH ST, CHAMBERLAIN, SD 57325-6320
(605) 464-1466
(605) 234-0164
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
1767
SD
Other
Enumeration date
07/24/2024
Last updated
07/24/2024
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