Individual provider · Type 1 NPI

Derrick Lundberg, LMT

Massage Therapist · Minneapolis, MN

NPI number 1982479325 Active

Practice location

1224 2nd St NE
Minneapolis, MN 55413-1130

Mailing address

2194 Lexington Ave N Apt 12
Roseville, MN 55113-4351

Other practice locations

  • 762 Cleveland Ave S, St. Paul, MN 55116-1347 · (651) 214-2476

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XNone 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 1982479325

Derrick Lundberg, LMT's National Provider Identifier is 1982479325, issued on Nov 15, 2023. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Minneapolis, MN. The record was last updated on Nov 15, 2023.