THOMAS BREITBARTH

NORMAL, IL
NPI1306255989
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225700000X Massage Therapist
(Licence: IL  227.000305)
Enumeration Date2014-08-07
Last Update Date2014-08-07
Business Address
Mr. THOMAS BREITBARTH
1713 FORT JESSE RD SUITE D
NORMAL, IL 61761-6208
Phone number: 309-862-2225
Mailing Address
Mr. THOMAS BREITBARTH
1713 FORT JESSE RD SUITE D
NORMAL, IL 61761-6208
Phone number: 309-862-2225
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