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NPI Code Detail

MEDICARE: IAN ALAN RANDLE DPT

MEDICARE:   IAN ALAN RANDLE  DPT
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
1225100000XPhysical TherapistAZ
2225100000XPhysical Therapist13881MN
3225100000XPhysical Therapist
4225100000XPhysical Therapist0020043CO
5225100000XPhysical Therapist16985WI
6225100000XPhysical Therapist304008CA

General Provider Information

NPI Number : 1083310346
Entity Type Code : Individual
Provider Name (Legal Business Name) : IAN ALAN RANDLE DPT
Provider Business Mailing Address
First Line : 5161 E ARAPAHOE RD STE 250
Second Line :
City : CENTENNIAL
State : CO
Zip : 80122-4810
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5393 S CALLE SANTA CRUZ STE 107
Second Line :
City : TUCSON
State : AZ
Zip : 85706-3556
Country : US
Telephone Number : 520-225-0129
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/07/2023
Last Update Date : 12/01/2025

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Directions to “ IAN ALAN RANDLE DPT” Practice Location

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