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Douglas Roosevelt, ND, LMT, EMT-P

NPI 1164211991 · on the registry since 2025 · sole proprietor

Practice

Address
301 S Prospect Rd Ste 1a
Bloomington, IL 61704
Phone
(309) 531-4584
Clinicians at this address
5

Registry record

Primary taxonomy
175F00000X
175F00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-05-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois