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

Jeffrey Michael Randolph, PT

Individual provider Physical Therapist · NPI 1609347947

Jeffrey Michael Randolph, PT is a Physical Therapist in Port Huron, Michigan. Licensed in Michigan. Registered with an NPI since 2018.

Licensed in
MI
In the registry since
2018
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

1411 3rd St
Port Huron, MI 48060-5480
Phone: (586) 651-6059
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 5501010945 (MI)

Record details

NPI number1609347947
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedDecember 16, 2018
Last updated in NPPESDecember 16, 2018
Mailing address17600 Eider Dr, Clinton Township, MI 48038-7408

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