Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Derrick Lundberg, LMT

Individual provider Massage Therapist · NPI 1982479325

Derrick Lundberg, LMT is a Massage Therapist in Minneapolis, Minnesota. Practices as a sole proprietor and works from 2 locations. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

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Practice location Address checks out

1224 2nd St NE
Minneapolis, MN 55413-1130
Phone: (612) 345-5648
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 762 Cleveland Ave S, Saint Paul, MN 55116-1347 — (651) 214-2476

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X

Record details

NPI number1982479325
Entity typeIndividual (Type 1)
GenderMale
Credentials LMT
Sole proprietorYes
NPI enumeratedNovember 15, 2023
Last updated in NPPESNovember 15, 2023
Certification dateNovember 15, 2023

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