MR. THOMAS BREITBARTH NPI 1306255989

NPI Information

  • NPI: 1306255989
  • Provider Name: MR. THOMAS BREITBARTH
  • Classification: Massage Therapist - 225700000X
  • Entity Type: Individual
  • Address: 1713 FORT JESSE RD
    SUITE D
    NORMAL, IL
    ZIP 61761
  • Phone: (309) 862-2225

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NPI Details

MR. Thomas Breitbarth is a massage therapist in Normal, IL. The provider is an individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. MR. Thomas Breitbarth NPI is 1306255989. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1713 FORT JESSE RD
SUITE D
NORMAL, IL
ZIP 61761-208
Phone: (309) 862-2225
Fax: (309) 862-2229

The enumeration date for this NPI number is 8/7/2014 and was last updated on 8/7/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1225700000XMassage Therapist227.000305ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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