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

Randall Lee Gustafson, PT

Individual provider Physical Therapist · NPI 1275518946

Randall Lee Gustafson, PT is a Physical Therapist in San Diego, California. Licensed in California. Registered with an NPI since 2005.

Licensed in
CA
In the registry since
2005
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

7510 Clairemont Mesa Blvd #103
San Diego, CA 92111
Phone: (858) 277-2277
Fax: (858) 277-7358
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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 PT11826 (CA)

Record details

NPI number1275518946
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedDecember 14, 2005
Last updated in NPPESJuly 13, 2026

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