Individual
MR. RANDALL SCOTT POWERS
Active
Individual
MR. RANDALL SCOTT POWERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICAL THERAPIST
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT0000005385
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3108408
BCBS
TN
Enumeration date
04/19/2007
Last updated
07/08/2007
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