Mr Thomas Breitbarth, | |
1713 Fort Jesse Rd, Suite D, Normal, IL 61761-6208 | |
(309) 862-2225 | |
(309) 862-2229 |
Full Name | Mr Thomas Breitbarth |
---|---|
Gender | Male |
Speciality | Massage Therapist |
Location | 1713 Fort Jesse Rd, Normal, Illinois |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1306255989 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225700000X | Massage Therapist | 227.000305 (Illinois) | Primary |
Mailing Address | Practice Location Address |
---|---|
Mr Thomas Breitbarth, 1713 Fort Jesse Rd, Suite D, Normal, IL 61761-6208 Ph: (309) 862-2225 | Mr Thomas Breitbarth, 1713 Fort Jesse Rd, Suite D, Normal, IL 61761-6208 Ph: (309) 862-2225 |
Ms. Mary Ann Shelton, LMBT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 112 Boeykens Pl, Suite 3e, Normal, IL 61761 Phone: 309-310-9730 | |
Lauren Schultz, Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 413 Greenbriar Dr, Normal, IL 61761 Phone: 309-229-6672 |