Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CLINTON RANDOLPH, LMT
Active Sole ProprietorCLINTON RANDOLPH, LMT is a Massage Therapist healthcare provider located in WASHINGTON, Illinois. NPI 1477345288 is currently active in the NPPES registry. Verify at CMS.
Massage Therapist · WASHINGTON, IL
Registration Details
- NPI Number
- 1477345288
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 19, 2025 (1.2133442080328 yrs)
- Last Updated
- May 19, 2025
- License
-
227.022994 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1409 WASHINGTON RDWASHINGTON, IL, 615716157Browse IL providers · Browse ZIP 61571
- Phone
- 3094150275
- Primary Specialty
-
Massage Therapist
225700000X
Other Massage Therapist Providers in WASHINGTON, IL
| Name | Credential | NPI |
|---|---|---|
| JANELL LYN SCHAEFER | L.M.T. | 1124176201 |
| MS. JAYNE D PERKINS | LMT | 1831348077 |
| BRYANNA R BRAY | LMT | 1053100040 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.