MR. Jeffrey Korolchuk JR., L.M.T.

NPI #1164883765 in Roseville, Minnesota

Provider Information

NPI Number: 1164883765
Entity Type: Individual
Name: MR. Jeffrey Korolchuk JR., L.M.T.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: L.M.T.
Enumeration Date: Mar 10, 2016
Last Updated: Mar 10, 2016

Practice Location

Address: 2204 LEXINGTON AVE N APT 10
City: Roseville
State: Minnesota
ZIP Code: 55113-4355
Phone: (612) 578-9260

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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