DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: CHRISTA DAWN RANDOLPH MPT

MEDICARE: CHRISTA DAWN RANDOLPH MPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialist002526WV
2225100000XPhysical Therapist002526WV

General Provider Information

NPI Number : 1174508121
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTA DAWN RANDOLPH MPT
Provider Business Mailing Address
First Line : 306 W MAIN ST
Second Line :
City : BRIDGEPORT
State : WV
Zip : 26330-1751
Country : US
Telephone Number : 304-842-3137
Fax Number : 304-842-3138
Provider Business Practice Location Address
First Line : 306 W MAIN ST
Second Line :
City : BRIDGEPORT
State : WV
Zip : 26330-1751
Country : US
Telephone Number : 304-842-3137
Fax Number : 304-842-3138
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/13/2005
Last Update Date : 07/12/2012

Similar Medicare Providers

1588666549 — MARNIE CLEMENS DPT
Practice Location Address:
306 W MAIN ST
BRIDGEPORT, WV
26330-1751
Practice Phone: 304-842-3137
Practice Fax: 304-842-3138
1487650107 — MRS. SUSAN MICHELLE WOOD MOTR/L
Practice Location Address:
306 W MAIN ST
BRIDGEPORT, WV
26330-1751
Practice Phone: 304-842-3137
Practice Fax: 304-842-3138
1093711657 — JACK ANTHONY SPATAFORE DPT/MS
Practice Location Address:
306 W MAIN ST
BRIDGEPORT, WV
26330-1751
Practice Phone: 304-842-3137
Practice Fax: 304-842-3138
1912086158 — BRIDGEPORT PHYSICAL THERAPY SERVICES, INC.
Practice Location Address:
306 W MAIN ST
BRIDGEPORT, WV
26330-1751
Practice Phone: 304-842-3137
Practice Fax: 304-842-3138
1912074170 — CLEMENS PHYSICAL THERAPY PLLC
Practice Location Address:
302 W MAIN ST
BRIDGEPORT, WV
26330-1751
Practice Phone: 304-842-6008
Practice Fax: 304-842-0060
1649477183 — MRS. JULIE BETH HARBERT OTR
Practice Location Address:
306 W MAIN ST
BRIDGEPORT, WV
26330-1751
Practice Phone: 304-842-3137
Practice Fax: 304-842-3138

Directions to “ CHRISTA DAWN RANDOLPH MPT” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.