Individual provider · Type 1 NPI

Ian Duire, LMT

Massage Therapist · Glen Carbon, IL

NPI number 1992111207 Active

Practice location

3407 S State Route 157
Glen Carbon, IL 62034-1042

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X222.001977 (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.

5 other providers at this address

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About NPI 1992111207

Ian Duire, LMT's National Provider Identifier is 1992111207, issued on Jul 8, 2014. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Glen Carbon, IL. The record was last updated on Jul 8, 2014.