Individual provider · Type 1 NPI
Clinton Randolph, LMT
Massage Therapist · Washington, IL
NPI number
1477345288
Active
Practice location
1409 Washington Rd
Washington, IL 61571-6157
Mailing address
906 Devonshire Rd
Washington, IL 61571-1327
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 227.022994 (IL) |
Massage Therapist: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
Another provider at this address
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About NPI 1477345288
Clinton Randolph, LMT's National Provider Identifier is 1477345288, issued on May 19, 2025. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Washington, IL. The record was last updated on May 19, 2025.