Individual provider · Type 1 NPI

Randall Lee Gustafson, PT

Physical Therapist · San Diego, CA

NPI number 1275518946 Active

Practice location

7510 Clairemont Mesa Blvd, #103
San Diego, CA 92111

Call (858) 277-2277 Map

Fax (858) 277-7358

Mailing address

5962 La Place Ct, Ste 170
Carlsbad, CA 92008

Specialties and licenses

TaxonomyCodeLicense
Physical Therapist Primary 225100000XPT11826 (CA)

Physical Therapist: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, r…

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About NPI 1275518946

Randall Lee Gustafson, PT's National Provider Identifier is 1275518946, issued on Dec 14, 2005. The primary taxonomy on file is Physical Therapist (225100000X), and the practice location is in San Diego, CA. The record was last updated on Jul 13, 2026.