Brent Randall
Brent Randall is an Occupational Therapist in Private Practice in Kimberly, Idaho. Qualified in 1999, 27 years ago. Practices with Valley Therapy Services Inc, a 3-clinician group and accepts Medicare assignment. Licensed in Idaho.
- Years since qualifying
- 27
- Licensed in
- ID
- In the registry since
- 2008
Practice location Address checks out
302 Garnet DrKimberly, ID 83341-1931
Phone: (208) 731-9799
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Occupational Therapist (primary) | Taxonomy 225X00000X · Licence OT-556 (ID) |
|---|
Record details
| NPI number | 1497913123 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | May 29, 2008 |
| Last updated in NPPES | May 29, 2008 |
| Mailing address | 414 N Lincoln Ave Ste 5, Jerome, ID 83338-2300 |
Medicare enrollment
| Medicare specialty | OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 1999 (27 years in practice) |
| Group practice | Valley Therapy Services Inc — 3 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Kimberly
-
Christine Rene Reeds, OT/L
113 Main St, Kimberly, ID 83341 · (208) 421-9659
-
Amy Roemer
141 Center St W, Kimberly, ID 83341-1753 · (208) 423-4170