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

Mrs. Bonnie Jean Elizabeth Randall, PT

Individual provider Physical Therapist · NPI 1083748180

Mrs. Bonnie Jean Elizabeth Randall, PT is a Physical Therapist in Grand Rapids, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2007
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

2014 3 Mile Rd NE
Grand Rapids, MI 49505-3440
Phone: (616) 363-3352
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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 5501000046 (MI)

Record details

NPI number1083748180
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorYes
NPI enumeratedMarch 14, 2007
Last updated in NPPESJuly 8, 2007

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