| Ian Duire, LMT | |
|
3407 S State Route 157, Glen Carbon, IL 62034-1042 | |
| (618) 288-3610 | |
| Not Available |
| Full Name | Ian Duire |
|---|---|
| Gender | Male |
| Speciality | Massage Therapist |
| Location | 3407 S State Route 157, Glen Carbon, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992111207 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225700000X | Massage Therapist | 222.001977 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ian Duire, LMT 3407 S State Route 157, Glen Carbon, IL 62034-1042 Ph: (618) 288-3610 | Ian Duire, LMT 3407 S State Route 157, Glen Carbon, IL 62034-1042 Ph: (618) 288-3610 |
Amanda Morrow, LMT, MMP Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 108 Magnolia Dr Ste A, Glen Carbon, IL 62034 Phone: 618-978-7755 | |
Mildred Zey, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 3407 S State Route 157, Glen Carbon, IL 62034 Phone: 618-288-3610 |