Individual provider · Type 1 NPI
Justin Jacobsen
Massage Therapist · Bloomington, MN
NPI number
1104769934
Active
Practice location
2501 W 84th St
Bloomington, MN 55431-1599
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | None listed |
Massage Therapist: 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.
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About NPI 1104769934
Justin Jacobsen's National Provider Identifier is 1104769934, issued on Apr 14, 2026. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Bloomington, MN. The record was last updated on Oct 25, 2026.