Individual
RANDY M. BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.P.T.
Contact information
Practice address
2700 GREENUP AVE, ASHLAND, KY 41101-1953
(800) 609-0905
(800) 609-0801
Mailing address
353 BLACKBURN AVE, ASHLAND, KY 41101-3479
(606) 615-1774
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
004537
KY
225100000X
Physical Therapist
PT 010979
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8700162400
—
KY
Enumeration date
11/15/2005
Last updated
01/09/2013
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