Elizabeth Deshler
Individual provider Active NPI Massage Therapist · Wayzata, MN
NPI 1124332945 · NPPES record last updated Aug 4, 2010
Key facts
- NPI
- 1124332945
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- Practice address
- 1421 Wayzata Blvd
Suite 100
Wayzata, MN 55391-1939 - Phone
- (952) 473-9637
- Fax
- (952) 473-1850
- NPI assigned
- Aug 4, 2010
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Brost Clinic, PA | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | Yes |
Addresses
Primary practice location
1421 Wayzata Blvd
Suite 100
Wayzata, MN 55391-1939
Mailing address
1421 Wayzata Blvd
Suite 100
Wayzata, MN 55391-1939
Phone (952) 473-9637
Other providers in Wayzata, MN
- Joshua Dean Daniel
- Luc Rene De la Villefromoy
- Deephaven Chiropractic, P.a.
- Deephaven Phcy Inc
- Dental Specialist of Minnesota, PLLC
- Jessica Marie Desjardins
- Luciana Alexandra Di Biagio
- Distinctive Eyewear LLC
- Dr. Daniel S. Tierney, LLC
- Lucas G Dueffert
All providers in Wayzata, MN · Massage Therapist in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 4, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.