Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Clinton Randolph, LMT

Individual provider Massage Therapist · NPI 1477345288

Clinton Randolph, LMT is a Massage Therapist in Washington, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2025
What do these letters mean?
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

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Practice location Address checks out

1409 Washington Rd
Washington, IL 61571-6157
Phone: (309) 415-0275
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 227.022994 (IL)

Record details

NPI number1477345288
Entity typeIndividual (Type 1)
GenderMale
Credentials LMT
Sole proprietorYes
NPI enumeratedMay 19, 2025
Last updated in NPPESMay 19, 2025
Certification dateMay 6, 2025
Mailing address906 Devonshire Rd, Washington, IL 61571-1327

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