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

Theresa Randall

Individual provider Contractor · NPI 1306474952

Theresa Randall is a Contractor in Wauwatosa, Wisconsin. Registered with an NPI since 2020.

In the registry since
2020
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Practice location Address checks out

9455 W Watertown Plank Rd Fl 4
Wauwatosa, WI 53226-3559
Phone: (414) 257-6302
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Contractor (primary) Taxonomy 171W00000X

Record details

NPI number1306474952
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 30, 2020
Last updated in NPPESMarch 30, 2020
Certification dateMarch 30, 2020
Mailing address9455 W Watertown Plank Rd Fl 4, Wauwatosa, WI 53226-3559

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