Elizabeth Diebold, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

2010039902 Issued in MO

Practice address

1177 S Duchesne Dr
Saint Charles, MO 63301-4837

Phone

(314) 420-4989

NPI assigned

Sep 13, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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": "1379030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379030400000",
    "number": "1285069815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480 FORTRESS CT",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633033892",
            "telephone_number": "314-420-4989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1177 S DUCHESNE DR",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633014837",
            "telephone_number": "314-420-4989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIEBOLD",
        "first_name": "ELIZABETH",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-13",
        "last_updated": "2013-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MO",
            "license": "2010039902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Anthony Di Carlo, D.C.
• Dicarlo Chiropractic Center P C
• Andrew Dickerson
• Dicus Chiropractic Clinic, P.C.
• Donald Wayne Dicus, D.C.
• Kathleen Diemer
• Jillian Diepenbrock, PHARM.D.
• Dierbergs Markets Inc
• Katelyn Diers
• Martha Lenona Diggins, PLPC

• Massage Therapist in Saint Charles, MO
• Providers in Saint Charles, MO by specialty
• Massage Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2013; 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.