Dr. Jacqueline Randa
Physical Therapist - Orthopedic
874 American Pacific Dr
Henderson
, Nevada 89014-8800
Dr. Jacqueline Randa
Physical Therapist - Orthopedic
874 American Pacific Dr
Henderson
, Nevada 89014-8800
(702) 777-3055
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About
Features
Specialties
- Physical Therapist - Orthopedic
Languages spoken
- English
Location
First Address
- Dr. Jacqueline Randa
- 874 American Pacific Dr
- Henderson, NV
- Zip : 89014-8800
- Fax : (702) 777-3055
- Phone : (702) 777-3122
Second Address
- Dr. Jacqueline Randa
- 874 American Pacific Dr
- Henderson, NV
- Zip : 89014-8800
- Fax : (702) 777-3055
- Phone : (702) 777-3122
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2251X0800X | Physical Therapist - Orthopedic | 2845 | NV |
| N | 2251X0800X | Physical Therapist - Orthopedic | PT28176 | CA |
National Provider Identifier
| NPI | 1013919349 |
|---|---|
| Provider Name | Dr. Jacqueline Randa |
| First Address | Henderson, NV 89014-8800 |
| Second Address | Henderson, NV 89014-8800 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/05/2005 |
| Last Update Date | 23/07/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 54220ZZZ07464Z | BLUE SHIELD PIN (01) | CA |
| P00066377 | RAILROAD MEDICARE (01) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.