Emma Rae Randolph
Emma Rae Randolph is an Athletic Trainer in Sullivan, Missouri. Practices as a sole proprietor. Licensed in Missouri.
- Licensed in
- MO
- In the registry since
- 2021
Practice location Address checks out
241 Cave CtSullivan, MO 63080-3743
Phone: (636) 388-1457
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Athletic Trainer (primary) | Taxonomy 2255A2300X (MO) |
|---|
Record details
| NPI number | 1306430301 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | February 22, 2021 |
| Last updated in NPPES | February 22, 2021 |
| Certification date | February 22, 2021 |
| Mailing address | 241 Cave Ct, Sullivan, MO 63080-3743 |