RANDALL SCOTT DECKER

FORT SMITH, AR
NPI1003112905
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: KS  14-01313)
Enumeration Date2011-02-10
Last Update Date2011-02-10
Business Address
-- RANDALL SCOTT DECKER PTA
1000 FIANNA WAY
FORT SMITH, AR 72919
Phone number: 479-201-2000
Mailing Address
-- RANDALL SCOTT DECKER PTA
107 N. LINCOLN
HILLSBORO, KS 67063
Phone number: 785-443-5116
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