Individual
JEFFREY RANDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
9088 RIDGELINE BLVD STE 106, HIGHLANDS RANCH, CO 80129-2380
(720) 458-0522
(720) 536-5365
Mailing address
PO BOX 5718, KALISPELL, MT 59903-5718
(406) 756-0134
(406) 300-1612
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTL0007763
CO
Other
Enumeration date
05/12/2006
Last updated
03/06/2020
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