ELIZABETH RENEE LONG LMT NPI 1619546843

NPI Information

  • NPI: 1619546843
  • Provider Name: ELIZABETH RENEE LONG, LMT
  • Classification: Massage Therapist - 225700000X
  • Entity Type: Individual
  • Address: 18404 LAKELAND DR
    LAGO VISTA, TX
    ZIP 78645
  • Phone: (512) 639-7505

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NPI Details

Elizabeth Renee Long, LMT is a massage therapist in Lago Vista, TX. The provider is an individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. Elizabeth Renee Long, LMT NPI is 1619546843. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

18404 LAKELAND DR
LAGO VISTA, TX
ZIP 78645-702
Phone: (512) 639-7505

The enumeration date for this NPI number is 6/22/2021 and was last updated on 6/22/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1225700000XMassage TherapistMT134826TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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