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Mr. Thomas Breitbarth
Massage Therapist in Normal, Illinois
NPI 1306255989

Thomas Breitbarth is a Massage Therapist based in Normal, IL. Thomas Breitbarth practices in Normal, IL. The NPI Number for Thomas Breitbarth is 1306255989 and holds a License No. 227.000305 (Illinois).

The current practice location address for Thomas Breitbarth is 1713 Fort Jesse Rd, Normal, IL and can be reached out via phone at 309-862-2225 and via fax at 309-862-2229.

Location: 1713 Fort Jesse Rd, Normal, IL, 61761-6208
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1306255989
Provider Name
Thomas Breitbarth
Credential
Provider Entity Type
Individual
Gender
Male
Address
1713 Fort Jesse Rd, Normal, IL, 61761-6208
Phone Number
309-862-2225
Fax Number
309-862-2229
Provider Enumeration Date
08/07/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1713 Fort Jesse Rd
City
Normal
State
Illinois
Zip
61761-6208
Phone Number
309-862-2225
Fax Number
309-862-2229
person
Provider Business Mailing Address Details
Address
1713 Fort Jesse Rd
City
Normal
State
Illinois
Zip
61761-6208
Phone Number
309-862-2225
Fax Number
309-862-2229
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
227.000305 (Illinois)
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
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