Provider Demographics
NPI:1578798021
Name:KAPLAN, RANDI BRYN (MS, ATC)
Entity Type:Individual
Prefix:
First Name:RANDI
Middle Name:BRYN
Last Name:KAPLAN
Suffix:
Gender:F
Credentials:MS, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2100 COLLEGE ST
Mailing Address - Street 2:
Mailing Address - City:NEWBERRY
Mailing Address - State:SC
Mailing Address - Zip Code:29108-2126
Mailing Address - Country:US
Mailing Address - Phone:803-321-5170
Mailing Address - Fax:803-321-5169
Practice Address - Street 1:2100 COLLEGE ST
Practice Address - Street 2:
Practice Address - City:NEWBERRY
Practice Address - State:SC
Practice Address - Zip Code:29108-2126
Practice Address - Country:US
Practice Address - Phone:803-321-5170
Practice Address - Fax:803-321-5169
Is Sole Proprietor?:No
Enumeration Date:2009-05-27
Last Update Date:2009-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC9482255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer