Individual
DR. SCOTT RANDKLEV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1132 E POLSTON AVE, POST FALLS, ID 83854-6045
(208) 777-7800
(208) 777-9209
Mailing address
1132 E POLSTON AVE, POST FALLS, ID 83854-6045
(208) 777-7800
(208) 777-9209
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-2816
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1134149941
—
ID
Enumeration date
06/06/2011
Last updated
04/18/2017
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