Ian Duire, LMT

NPI #1992111207 in Glen Carbon, Illinois

Provider Information

NPI Number: 1992111207
Entity Type: Individual
Name: Ian Duire, LMT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Jul 8, 2014
Last Updated: Jul 8, 2014

Practice Location

Address: 3407 S STATE ROUTE 157
City: Glen Carbon
State: Illinois
ZIP Code: 62034-1042
Phone: (618) 288-3610

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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