ROGER LEE RANDALL - NPI 1710617865 - Massage Therapist in Boise, ID

Q: What is Roger Randall's NPI number?

The NPI number for Roger Randall is 1710617865. It was assigned to this individual provider in the NPPES registry on June 13, 2022.

Q: What is Roger Randall's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

Q: When was this NPI record last updated?

The NPPES record for Roger Randall was last updated on June 13, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Roger Lee Randall NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROGER LEE RANDALL (NPI 1710617865) is an individual massage therapist in Boise, Idaho and active in the NPI registry since June 2022.

NPPES Registry Identity

NPI1710617865

Entity TypeIndividualMale

Primary Taxonomy225700000X

Provider Legal NameROGER LEE RANDALL

Location Address960 S BROADWAY AVE STE 200Boise, ID 83706-3667

Mailing Address16083 Sw Upper Boones Ferry Rd Ste 300Portland, OR 97224-7736 · (503) 443-6156

Phone(208) 433-9211

Sole ProprietorYes

Enumeration DateJune 13, 2022

NPPES CertifiedJune 13, 2022

✔ NPI 1710617865 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code225700000X

Definition

An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

960 S BROADWAY AVE STE 200, Boise, ID 83706

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Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALYSSA THIERER

Physical Therapy Assistant