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Kirk Randall, P.T
NPI 1235172826 · on the registry since 2006 · sole proprietor
Practice
- Address
- 3753 Basswood Dr Sw
Grandville, MI 49418 - Phone
- (616) 340-6407
- Fax
- (616) 301-2882
- Organisation at this address
- Independence Rehab Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2008-02-12
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 Michigan