Heather A. M. Kevitt, HEATHER KEVITT, NCTM

Primary specialty

Massage TherapistTaxonomy code 225700000X

Practice address

23505 Smithtown Rd
Suite 100
Excelsior, MN 55331-4541

Phone

(952) 470-8555

Fax

(952) 401-8785

NPI assigned

Mar 14, 2013

Last updated

Mar 14, 2013By the provider in NPPES

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

Other names 1

• Ms. Heather A.M. Levine Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1363219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363219200000",
    "number": "1407197536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5740 ECHO RD",
            "city": "EXCELSIOR",
            "state": "MN",
            "postal_code": "553312935",
            "telephone_number": "612-703-4390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23505 SMITHTOWN RD",
            "address_2": "SUITE 100",
            "city": "EXCELSIOR",
            "state": "MN",
            "postal_code": "553314541",
            "telephone_number": "952-470-8555",
            "fax_number": "952-401-8785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEVITT",
        "first_name": "HEATHER",
        "middle_name": "A. M.",
        "name_prefix": "Mrs.",
        "credential": "HEATHER KEVITT, NCTM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-14",
        "last_updated": "2013-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "LEVINE",
            "middle_name": "A.M.",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Massage Therapist in Excelsior, MN
• Providers in Excelsior, MN by specialty
• Massage Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.