Robert Randall, LMT
Massage Therapist in Bay City, MI. Individual provider (NPI-1).
NPI number1881280980
StatusActive
Last updated in NPPESDec 14, 2020
Details
- NPI
- 1881280980
- Entity type
- Individual (NPI-1)
- Name
- Robert Randall
- Credential
- LMT
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Dec 14, 2020
- Certification date
- Dec 14, 2020
- Last updated
- Dec 14, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | 7501005224 | MI | Yes |
Practice location
3345 Birchbrook DrBay City, MI 48706-2417
Phone 989-971-4362
Mailing address
3345 Birchbrook DrBay City, MI 48706-2417
Phone 989-971-4362
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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