Langley, Randall Keith

Langley, Randall Keith is an individual health care provider with primary practice located at 457 S Fitness Pl Suite 100, Eagle ID 83616-6568. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Langley, Randall Keith can be contacted via phone (208) 939-3332.

Contact Information

Primary practice address
457 S Fitness Pl Suite 100 Eagle ID 83616-6568
Phone: (208) 939-3332
Fax: (208) 939-3338
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X RPT 655 Idaho

Profile Details

NPI number 1598852139
LBN Legal business name Langley, Randall Keith
Credentials RPT, OCS
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2006
Last updated Jul 23rd, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598852139 NPPES
Idaho MEDICAID 002779700
Idaho Other 650012139
Idaho Other T4371
Idaho Other 000010009145

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