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

Kelly Randell, PTA

Individual provider Physical Therapy Assistant · NPI 1376935791

Kelly Randell, PTA is a Physical Therapy Assistant in Saint Louis, Missouri. Licensed in Missouri. Registered with an NPI since 2015.

Licensed in
MO
In the registry since
2015
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

11960 Westline Industrial Dr Ste 201
Saint Louis, MO 63146-3209
Phone: (314) 819-0480
Fax: (314) 275-7444
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 117058 (MO)

Record details

NPI number1376935791
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedFebruary 22, 2015
Last updated in NPPESFebruary 22, 2015

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