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

Mr. Thomas Breitbarth

Individual provider Massage Therapist · NPI 1306255989

Mr. Thomas Breitbarth is a Massage Therapist in Normal, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2014
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Practice location Address checks out

1713 Fort Jesse Rd Ste D
Normal, IL 61761-6208
Phone: (309) 862-2225
Fax: (309) 862-2229
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 227.000305 (IL)

Record details

NPI number1306255989
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 7, 2014
Last updated in NPPESAugust 7, 2014
Mailing address1713 Fort Jesse Rd, Suite D, Normal, IL 61761-6208

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