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

Mr. Randy Shane Johnson, MSPT

Individual provider Physical Therapist · NPI 1346319456

Mr. Randy Shane Johnson, MSPT is a Physical Therapist in Clinton, Missouri. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
In the registry since
2006

Practice location Address checks out

1600 N 2nd St
Clinton, MO 64735-1192
Phone: (660) 890-7190
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 2005010779 (MO)

Record details

NPI number1346319456
Entity typeIndividual (Type 1)
GenderMale
Credentials MSPT
Sole proprietorYes
NPI enumeratedNovember 6, 2006
Last updated in NPPESJuly 8, 2007
Mailing address1600 N 2nd St, Clinton, MO 64735-1192

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