Elizabeth Heustis, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

1715407 Issued in KY

Practice address

1012 Bluegrass Ave
Louisville, KY 40215-2314

Phone

(502) 457-6431

NPI assigned

Jul 2, 2020

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Elizabeth Brodbeck Heustis Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1593648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593648000000",
    "number": "1093332330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1012 BLUEGRASS AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402152314",
            "telephone_number": "502-457-6431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1012 BLUEGRASS AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402152314",
            "telephone_number": "502-457-6431"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2640 Frankfort Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402063538",
            "country_code": "US",
            "telephone_number": "502-822-3775",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2132 New Main St",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402062008",
            "country_code": "US",
            "telephone_number": "502-457-6431",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEUSTIS",
        "first_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-02",
        "last_updated": "2020-07-02",
        "certification_date": "2020-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "KY",
            "license": "1715407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "BRODBECK HEUSTIS",
            "prefix": "MRS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Heuser Hearing & Language Academy
• Carrie Melissa Heuser, LCSW
• Julie L Heuser, ARNP
• Louis Sterling Heuser Sr., M.D.
• Peggy Janson Heuser, APRN
• Renee M Heustis, MD ED
• Alison Elizabeth Hewett, APRN, NP-C
• Janie L. Hewitt, LMFT
• Hannah Marie Hewlett, APRN
• Teal Hewlett, LCSW

• Massage Therapist in Louisville, KY
• Providers in Louisville, KY by specialty
• Massage Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.