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

Mr. Randall Wayne Lawrence, PT

Individual provider Physical Therapist · NPI 1568414803

Mr. Randall Wayne Lawrence, PT is a Physical Therapist in Benton, Illinois. Licensed in Illinois. Registered with an NPI since 2006.

Licensed in
IL
In the registry since
2006
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

1104 W Main St
Benton, IL 62812-1565
Phone: (618) 439-3399
Fax: (618) 439-4801
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X (IL)

Record details

NPI number1568414803
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedMay 16, 2006
Last updated in NPPESJuly 13, 2026
Mailing address1810 E Cleveland St, West Frankfort, IL 62896-3415

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