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Tyler Randolph

NPI 1154238566 · on the registry since 2026

Practice

Address
2370 Quinland Lake Rd Ste 150
Cookeville, TN 38506
Phone
(931) 201-9682
Fax
(931) 263-7570
Organisation at this address
Health Petal
Community Efforts Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
14

Registry record

Primary taxonomy
225X00000X
225X00000X
Licence states on file
TN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-08-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Tennessee