Provider Demographics
NPI:1467090266
Name:RAND, ROYALE (DPT)
Entity type:Individual
Prefix:
First Name:ROYALE
Middle Name:
Last Name:RAND
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44711 SE 70TH ST
Mailing Address - Street 2:
Mailing Address - City:SNOQUALMIE
Mailing Address - State:WA
Mailing Address - Zip Code:98065-9441
Mailing Address - Country:US
Mailing Address - Phone:931-624-2355
Mailing Address - Fax:888-527-5448
Practice Address - Street 1:44711 SE 70TH ST
Practice Address - Street 2:
Practice Address - City:SNOQUALMIE
Practice Address - State:WA
Practice Address - Zip Code:98065-9441
Practice Address - Country:US
Practice Address - Phone:931-624-2355
Practice Address - Fax:888-527-5448
Is Sole Proprietor?:No
Enumeration Date:2019-12-12
Last Update Date:2024-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
2251S0007X, 2251X0800X
WAPT60970366225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251S0007XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistSports
No2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA60970366OtherLICENSE