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

MS. Theresa M Moulton, LMT

Individual provider Specialist · NPI 1790199164

MS. Theresa M Moulton, LMT is a Specialist in Waukegan, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2014
What do these letters mean?
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

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Practice location Address checks out

1400 Sunset Ave Ste 5
Waukegan, IL 60087-4806
Phone: (224) 730-9331
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 227-013352 (IL)

Record details

NPI number1790199164
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMT
Sole proprietorYes
NPI enumeratedJune 13, 2014
Last updated in NPPESJune 13, 2014

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