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

Kelly Gene Randolph, PT

Individual provider Physical Therapist · NPI 1447401104

Kelly Gene Randolph, PT is a Physical Therapist in Cody, Wyoming. Licensed in Wyoming. Registered with an NPI since 2008.

Licensed in
WY
In the registry since
2008
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

1726 Beck Ave
Cody, WY 82414-3925
Phone: (307) 587-9866
Fax: (307) 587-9867
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT-1256 (WY)

Record details

NPI number1447401104
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedSeptember 30, 2008
Last updated in NPPESSeptember 30, 2008

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