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CLINTON RANDOLPH LMT
NPI 1477345288
Massage Therapist in Washington, IL

Active since May 19, 2025
1409 WASHINGTON RD, WASHINGTON, IL 61571(309) 415-0275 Get Directions Write a Review

NPPES record last updated: May 19, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Clinton Randolph Lmt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CLINTON RANDOLPH LMT (NPI 1477345288) is an individual massage therapist in Washington, Illinois, licensed in Illinois (227.022994) and active in the NPI registry since May 2025.

NPPES Registry Identity

NPI1477345288
Entity TypeIndividualMale
Primary Taxonomy225700000X
Provider Legal NameCLINTON RANDOLPHCredential: LMT
Location Address1409 WASHINGTON RDWashington, IL 61571-6157
Mailing Address906 Devonshire RdWashington, IL 61571-1327 · (309) 415-0275 · Fax (309) 415-0275
Phone(309) 415-0275
Sole ProprietorYes
Enumeration DateMay 19, 2025
NPPES CertifiedMay 6, 2025
✔ NPI 1477345288 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
License✔ Licensed in IL · 227.022994
Definition
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.
1409 WASHINGTON RD, Washington, IL 61571
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRYANNA R BRAY LMT
Massage Therapist
1409 WASHINGTON RD
WASHINGTON, IL 61571
Tazewell County (309) 415-0275

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Clinton Randolph's NPI number?

The NPI number for Clinton Randolph is 1477345288. It was assigned to this individual provider in the NPPES registry on May 19, 2025.

Where is Clinton Randolph located?

Clinton Randolph practices at 1409 Washington Rd, Washington, IL 61571. The listed phone number is (309) 415-0275.

What is Clinton Randolph's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Clinton Randolph was last updated on May 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.