Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jared Thomas Randolph

Individual provider Physical Therapy Assistant · NPI 1225780034

Jared Thomas Randolph is a Physical Therapy Assistant in Owensboro, Kentucky. Licensed in Kentucky. Registered with an NPI since 2022.

Licensed in
KY
In the registry since
2022

Practice location Address checks out

1614 W Parrish Ave
Owensboro, KY 42301-3535
Phone: (270) 684-4559
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence A02450 (KY)

Record details

NPI number1225780034
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 23, 2022
Last updated in NPPESJanuary 23, 2022
Certification dateJanuary 23, 2022
Mailing address1721 Daniels Ln, Owensboro, KY 42303-9675

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