MR. Thomas Breitbarth

NPI #1306255989 in Normal, Illinois

Provider Information

NPI Number: 1306255989
Entity Type: Individual
Name: MR. Thomas Breitbarth
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Enumeration Date: Aug 7, 2014
Last Updated: Aug 7, 2014

Practice Location

Address: 1713 FORT JESSE RD
Address 2: SUITE D
City: Normal
State: Illinois
ZIP Code: 61761-6208
Phone: (309) 862-2225

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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Organizations

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