IndividualActive
Jacqueline Randa, PT
NPI 1013919349 · Orthopedic Physical Therapist · Henderson, NV
Provider details
- NPI number
- 1013919349
- Entity type
- Individual
- Primary specialty
- Orthopedic Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT
- Sex
- Female
- Sole proprietor
- No
- License
- PT28176 (CA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
874 American Pacific Dr
Henderson, NV 89014-8800
Phone: (702) 777-3122
Fax: (702) 777-3055
Approximate (ZIP-level) locationGet directions
Mailing address
874 American Pacific Dr
Henderson, NV 89014-8800
Registry dates
- Enumerated
- 2005-05-31
- Last updated
- 2013-07-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.