Individual
RANDY GENE MISENHEIMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
7111 BOSQUE BLVD, STE 101, WACO, TX 76710-4067
(254) 235-0708
(254) 693-7775
Mailing address
7111 BOSQUE BLVD, STE 101, WACO, TX 76710-4067
(254) 235-0708
(254) 693-7775
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
1024917
TX
Other
Enumeration date
07/16/2006
Last updated
04/17/2020
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