IndividualActive
Tristan Doud, LMT
NPI 1578889358 · Massage Therapist · Waukegan, IL
Provider details
- NPI number
- 1578889358
- Entity type
- Individual
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- LMT
- Sex
- Male
- Sole proprietor
- Yes
- License
- 227.007036 (IL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
131 Keller Ave
Waukegan, IL 60085
Phone: (847) 623-0339
Street-level locationGet directions
Mailing address
131 Keller Ave
Waukegan, IL 60085-5003
Registry dates
- Enumerated
- 2010-04-19
- Last updated
- 2011-01-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.