Eva Liana Bruestle, M.T.

Primary specialty

Massage TherapistTaxonomy code 225700000X

Practice address

4590 Scott TRL Ste 110
Eagan, MN 55122-4041

Phone

(651) 454-1000

NPI assigned

Sep 7, 2016

Last updated

Mar 1, 2021By 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

• Miss Eva Liana Archambault Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Medical Technician

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Acu-Chiropractic Wellness Center, PA

  • Chiropractor
  • Eagan, MN
  • NPI 1396828299
  NPD

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

{
    "created_epoch": "1473206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614556800000",
    "number": "1821545799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4590 SCOTT TRL STE 110",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551224041",
            "telephone_number": "651-454-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4590 SCOTT TRL STE 110",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551224041",
            "telephone_number": "651-454-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUESTLE",
        "first_name": "EVA",
        "middle_name": "LIANA",
        "name_prefix": "Mrs.",
        "credential": "M.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-07",
        "last_updated": "2021-03-01",
        "certification_date": "2021-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EVA",
            "last_name": "ARCHAMBAULT",
            "middle_name": "LIANA",
            "prefix": "MISS",
            "credential": "M.T.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Kaitlyn Diane Brown, PA
• Megan Louise Brozovich, DPT
• Elliott Dale Brubaker, O.D.
• Tamara Bruns, CPHT
• Takiya Charissa Bryant
• Max Bubar, M.T.
• Sarah Beth Carlson Buckley, MD
• Eleanor-Irene B Bucu, MD

• Massage Therapist in Eagan, MN
• Providers in Eagan, 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 1, 2021; 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.