Heather Gustafson, MT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

14207-146 Issued in WI

Practice address

571 Braund St
Onalaska, WI 54650-8556

Phone

(608) 785-7000

NPI assigned

Sep 21, 2021

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

Credentials

Medical Technician

State licenses

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 and National Provider Directory roles.

• Stein Counseling and Consulting Services, LTD.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Onalaska, WI
  • NPI 1861592891
  NPD
• Allied Health of Wisconsin, SC

  • Chiropractor
  • Wausau, WI
  • NPI 1487605051
  NPD (past)
• Chiropractic Place LLC

  • Chiropractor
  • Sparta, WI
  • NPI 1427457514
  NPD (past)

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

{
    "created_epoch": "1632182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746576000000",
    "number": "1902577976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "571 BRAUND ST",
            "city": "ONALASKA",
            "state": "WI",
            "postal_code": "546508556",
            "telephone_number": "608-785-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "571 BRAUND ST",
            "city": "ONALASKA",
            "state": "WI",
            "postal_code": "546508556",
            "telephone_number": "608-785-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUSTAFSON",
        "first_name": "HEATHER",
        "credential": "MT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-21",
        "last_updated": "2025-05-07",
        "certification_date": "2025-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WI",
            "license": "14207-146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gundersen Lutheran Medical Center Inc
• Gundersen Lutheran Medical Center, Inc
• Gundersen Lutheran Medical Center, Inc
• Andrea Gunderson, RN
• Rachelle Rae Guse, MASTERS
• Anthony Guzman
• Theresa Hagen, CNM, RN, APNP
• Kathie Halverson
• Benjamin L Hanan, PTA
• Elizabeth Rose Hansen, M.D.

• Massage Therapist in Onalaska, WI
• Providers in Onalaska, WI by specialty
• Massage Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2025; 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.