IndividualActive
Jeremiah Randall, PT
NPI 1366770828 · Sports Physical Therapist · Iola, KS
Provider details
- NPI number
- 1366770828
- Entity type
- Individual
- Primary specialty
- Sports Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT
- Sex
- Male
- Sole proprietor
- No
- License
- 11-04026 (KS)
Mailing address
10684 W 825 Rd
Mound City, KS 66056-9112
Registry dates
- Enumerated
- 2009-11-21
- Last updated
- 2009-11-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.