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Randy Thomas Capelle, MPT

Physical Therapist in Baxter, MN. Individual provider (NPI-1).

NPI number1669879730
StatusActive
Last updated in NPPESMar 7, 2022

Details

NPI
1669879730
Entity type
Individual (NPI-1)
Name
Randy Thomas Capelle
Credential
MPT
Sex
Male
Sole proprietor
No
Enumeration date
Dec 4, 2014
Certification date
Mar 7, 2022
Last updated
Mar 7, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist6725MNYes

Practice location

15620 Edgewood Dr Ste 240
Baxter, MN 56401-6984

Phone 218-454-7012

Mailing address

500 Cross St
Big Stone City, SD 57216-8237

Phone 605-541-1140 · Fax 605-541-0109

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