Clinton Randolph, LMT

NPI #1477345288 in Washington, Illinois

Provider Information

NPI Number: 1477345288
Entity Type: Individual
Name: Clinton Randolph, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: May 19, 2025
Last Updated: May 19, 2025

Practice Location

Address: 1409 WASHINGTON RD
City: Washington
State: Illinois
ZIP Code: 61571-6157
Phone: (309) 415-0275

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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