Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Douglas Roosevelt, ND, LMT, EMT-P

Individual provider Naturopath · NPI 1164211991

Mr. Douglas Roosevelt, ND, LMT, EMT-P is a Naturopath in Bloomington, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2025
What do these letters mean?
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

See every abbreviation used in this directory →

Practice location Address checks out

301 S Prospect Rd Ste 1A
Bloomington, IL 61704-4909
Phone: (309) 531-4584
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Naturopath (primary) Taxonomy 175F00000X (IL)

Record details

NPI number1164211991
Entity typeIndividual (Type 1)
GenderMale
Credentials ND , LMT , EMT-P
Sole proprietorYes
NPI enumeratedMay 6, 2025
Last updated in NPPESMay 6, 2025
Certification dateMay 6, 2025