Individual
CLINTON RANDOLPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
1409 WASHINGTON RD, WASHINGTON, IL 61571-6157
(309) 415-0275
Mailing address
906 DEVONSHIRE RD, WASHINGTON, IL 61571-1327
(309) 415-0275
(309) 415-0275
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227.022994
IL
Other
Enumeration date
05/19/2025
Last updated
05/19/2025
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