Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JEFFREY KOROLCHUK JR., L.M.T.
Active Sole ProprietorMR. JEFFREY KOROLCHUK JR., L.M.T. is a Massage Therapist healthcare provider located in ROSEVILLE, Minnesota. NPI 1164883765 is currently active in the NPPES registry. Verify at CMS.
Massage Therapist · ROSEVILLE, MN
Registration Details
- NPI Number
- 1164883765
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 10, 2016 (10.395142912674 yrs)
- Last Updated
- Mar 10, 2016
- Sole Proprietor
- Yes
Practice Information
- Address
-
2204 LEXINGTON AVE N APT 10ROSEVILLE, MN, 551134355Browse MN providers · Browse ZIP 55113
- Phone
- 6125789260
- Primary Specialty
-
Massage Therapist
225700000X
Other Massage Therapist Providers in ROSEVILLE, MN
| Name | Credential | NPI |
|---|---|---|
| MS. MARY WRIGHT | RN | 1245410604 |
| MS. DIADRA DECKER | LMT | 1467638239 |
| KENYATA WOODS | CMT | 1205093887 |
| DEIRDRE COLEMAN | CMT | 1710213913 |
| MS. SARAH MARIA O'NEIL | — | 1003241241 |
| LISA THOMPSON | HHP | 1215322417 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.