Individual
MS. ELIZABETH HEUSTIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1012 BLUEGRASS AVE, LOUISVILLE, KY 40215-2314
(502) 457-6431
Mailing address
1012 BLUEGRASS AVE, LOUISVILLE, KY 40215-2314
(502) 457-6431
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
1715407
KY
Other
Enumeration date
07/02/2020
Last updated
07/02/2020
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