MRS. BROOKE L RANDALL (NPI# 1720121056) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720121056 |
| Entity Type | Individual |
| Full Name | MRS. BROOKE L RANDALL |
| Credential | ATC, CMT |
| Practice Address |
6120 Stadium Dr Suite 100 Kalamazoo MI 49009-3022 |
| Practice Telephone | 2693728555 |
| Mailing Telephone | 2693728555 |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2012-01-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 225700000X | Massage Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891315677 | Brooke Randall | Early Intervention Provider Agency | 1110 South Ave, Staten Island, NY 10314-3403 | 2020-04-21 |
| Street Address |
6120 STADIUM DR SUITE 100 |
| City | KALAMAZOO |
| State | MI |
| Zip Code | 49009-3022 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245702588 | Carolynn Beth Decker | Occupational Therapist | 6120 Stadium Dr, Kalamazoo, MI 49009-3022 | 2018-12-27 |
| 1073085973 | Andrew Michael Regulski | Occupational Therapist | 6120 Stadium Dr, Kalamazoo, MI 49009-3022 | 2018-12-18 |
| 1346711298 | Denise E Hancox | Occupational Therapist | 6120 Stadium Dr, Kalamazoo, MI 49009-3022 | 2018-12-17 |
| 1356812853 | Abbasi Kapasi | Physical Therapist | 6120 Stadium Dr, Kalamazoo, MI 49009-3022 | 2018-12-09 |
| 1851862353 | Daniel Jay Dexter | Occupational Therapist | 6120 Stadium Dr, Kalamazoo, MI 49009-3022 | 2018-12-09 |
| 1295201911 | Varatharajan Lingam | Physical Therapist | 6120 Stadium Dr, Kalamazoo, MI 49009-3022 | 2018-10-19 |
| 1184950248 | Jonathan Paul Slater | Physical Therapist | 6120 Stadium Dr, Kalamazoo, MI 49009-3022 | 2009-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396235222 | Cherian Counseling Pllc | Marriage & Family Therapist | 4341 W Nestnedge Avenue #1201, Kalamazoo, MI 49009 | 2018-05-16 |
| 1316450901 | Joslyn Aneice Johnson | Student in an Organized Health Care Education/Training Program | 1521 Summer Ridge Dr. Apt. A, Kalamazoo, MI 49009 | 2017-11-06 |
| 1063931160 | Morgan Lee Baughman | Social Worker | 2555 S 11th St. Suite B, Kalamazoo, MI 49009 | 2017-09-11 |
| 1811416845 | Karen Sue Franks | Registered Nurse | 615 E. Crosstown Parkway, Kalamazoo, MI 49009 | 2017-09-11 |
| 1780102327 | Jonathan Robert Klok | Counselor | 6963 West Kl Ave. Suite A, Kalamazoo, MI 49009 | 2017-09-04 |
| 1730624339 | Optimed Health Partners Inc | Home Infusion | 6480 Technology Ave Suite A, Kalamazoo, MI 49009 | 2017-01-05 |
| 1063961860 | Christine Murphy Lee | Physician Assistant | 6565 West Main St, Westside Family Medical Center, P.c, Kalamazoo, MI 49009 | 2016-09-22 |
| 1558732297 | West Point Optical Group | Optometrist | 575 S Drake Rd, Kalamazoo, MI 49009 | 2015-10-07 |
| 1386021012 | Leonora Tarantino | Physical Therapist | 9303 W P Ave, Kalamazoo, MI 49009 | 2015-05-01 |
| 1720474836 | Alyssa Sutter | Rehabilitation Practitioner | 5990 Venture Park Dr., Kalamazoo, MI 49009 | 2015-04-15 |
| Find all providers in zip 49009 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467066696 | Ashley Candelaria | Massage Therapist | 2820 Lowell St, Kalamazoo, MI 49001-4457 | 2020-09-04 |
| 1922641174 | Patricia Kay Hetrick | Massage Therapist | 500 W Crosstown Pkwy, Kalamazoo, MI 49008-1995 | 2019-10-21 |
| 1720596224 | Charleen Fewtrell | Massage Therapist | 8089 Stadium Dr # Dt, Kalamazoo, MI 49009-6270 | 2018-01-18 |
| 1104377829 | Andrew Peekstok | Massage Therapist | 5380 Holiday Ter Ste 26, Kalamazoo, MI 49009-2128 | 2016-10-18 |
| 1851750798 | Jill Slunick | Massage Therapist | 2100 N 3rd St, Kalamazoo, MI 49009-8593 | 2016-02-21 |
| 1669830006 | Daniel Armand Lockett | Massage Therapist | 916 Eldridge Dr, Kalamazoo, MI 49006-5444 | 2016-01-30 |
| 1326458365 | Heather Mcdermott | Massage Therapist | 6610 Bela Ave, Kalamazoo, MI 49009-6597 | 2014-04-29 |
| 1154760486 | Jillian Michelle Samul | Massage Therapist | 1105 S Park St, Kalamazoo, MI 49001-5636 | 2013-06-19 |
| 1366889941 | Elizabeth Bullmer | Massage Therapist | 3244 S Westnedge Ave, Kalamazoo, MI 49008-2903 | 2013-05-23 |
| 1770829186 | Sherrie Lee Gearhart | Massage Therapist | 6121 N 24th St, Kalamazoo, MI 49004-8680 | 2012-12-13 |
| Find all providers in KALAMAZOO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.