Individual provider · Type 1 NPI

Tristan Doud, LMT

Massage Therapist · Waukegan, IL

NPI number 1578889358 Active

Practice location

131 Keller Ave
Waukegan, IL 60085

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X227.007036 (IL)

Massage Therapist: 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.

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About NPI 1578889358

Tristan Doud, LMT's National Provider Identifier is 1578889358, issued on Apr 19, 2010. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Waukegan, IL. The record was last updated on Jan 20, 2011.