NPI 1164883765

Jeffrey Korolchuk, LMT

Practitioner Massage Therapist Roseville, MN

Practice location

Address: 2204 Lexington Ave N APT 10, Roseville, MN 55113-4355
Phone: (612) 578-9260

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X

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Registry record

NPI: 1164883765
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Mar 2016
Record last updated: 10 Mar 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.