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NPI Code Detail

MEDICARE: ROBERT RANDALL THOMAS D.P.T.

MEDICARE: ROBERT RANDALL THOMAS D.P.T.
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 TherapistPT 60381438WA

General Provider Information

NPI Number : 1295173326
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERT RANDALL THOMAS D.P.T.
Provider Business Mailing Address
First Line : 2850 228TH AVE SE
Second Line : SUITE B
City : SAMMAMISH
State : WA
Zip : 98075-9301
Country : US
Telephone Number : 425-391-4488
Fax Number : 425-391-8287
Provider Business Practice Location Address
First Line : 2850 228TH AVE SE
Second Line : SUITE B
City : SAMMAMISH
State : WA
Zip : 98075-9301
Country : US
Telephone Number : 425-391-4488
Fax Number : 425-391-8287
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/11/2013
Last Update Date : 06/11/2013

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