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

Kenneth Edwin Randall, PT

Individual provider Physical Therapist · NPI 1417092057

Kenneth Edwin Randall, PT is a Physical Therapist in Tulsa, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2007.

Licensed in
OK
In the registry since
2007
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

1111 S Saint Louis Ave
Tulsa, OK 74120-5440
Phone: (918) 619-4600
Fax: (918) 619-4601
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Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 1372 (OK)

Record details

NPI number1417092057
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedFebruary 21, 2007
Last updated in NPPESJuly 8, 2007
Mailing address4502 E 41st St, Ste 2j30, Tulsa, OK 74135-2553

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