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

Mr. Jeffrey Korolchuk Jr., LMT

Individual provider Massage Therapist · NPI 1164883765

Mr. Jeffrey Korolchuk Jr., LMT is a Massage Therapist in Roseville, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2016
What do these letters mean?
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

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Practice location Address checks out

2204 Lexington Ave N Apt 10
Roseville, MN 55113-4355
Phone: (612) 578-9260
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X (MN)

Record details

NPI number1164883765
Entity typeIndividual (Type 1)
GenderMale
Credentials LMT
Sole proprietorYes
NPI enumeratedMarch 10, 2016
Last updated in NPPESMarch 10, 2016

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