Individual
RANDY THOMAS CAPELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
15620 EDGEWOOD DR STE 240, BAXTER, MN 56401-6984
(218) 454-7012
Mailing address
500 CROSS ST, BIG STONE CITY, SD 57216-8237
(605) 541-1140
(605) 541-0109
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6725
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6725
MN BOARD OF PHYSICAL THERAPY
MN
Enumeration date
12/04/2014
Last updated
03/07/2022
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