MR. JEFFREY KOROLCHUK JR. L.M.T.
NPI 1164883765
Massage Therapist in Roseville, MN

Q: What is Jeffrey Korolchuk's NPI number?

The NPI number for Jeffrey Korolchuk is 1164883765. It was assigned to this individual provider in the NPPES registry on March 10, 2016.

Q: What is Jeffrey Korolchuk's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

Q: When was this NPI record last updated?

The NPPES record for Jeffrey Korolchuk was last updated on March 10, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 10, 2016

2204 LEXINGTON AVE N APT 10, ROSEVILLE, MN 55113(612) 578-9260 Get Directions Write a Review

NPPES record last updated: March 10, 2016. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Mr. Jeffrey Korolchuk Jr. L.m.t. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JEFFREY KOROLCHUK JR. L.M.T. (NPI 1164883765) is an individual massage therapist in Roseville, Minnesota and active in the NPI registry since March 2016.

NPPES Registry Identity

NPI1164883765

Entity TypeIndividualMale

Primary Taxonomy225700000X

Provider Legal NameMR. JEFFREY KOROLCHUK JR.Credential: L.M.T.

Location Address2204 LEXINGTON AVE N APT 10Roseville, MN 55113-4355

Mailing Address2204 Lexington Ave N Apt 10Roseville, MN 55113-4355 · (612) 578-9260

Phone(612) 578-9260

Sole ProprietorYes

Enumeration DateMarch 10, 2016

✔ NPI 1164883765 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code225700000X

Definition

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.

2204 LEXINGTON AVE N APT 10, Roseville, MN 55113

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeffrey Korolchuk's NPI number?

The NPI number for Jeffrey Korolchuk is 1164883765. It was assigned to this individual provider in the NPPES registry on March 10, 2016.

Where is Jeffrey Korolchuk located?

Jeffrey Korolchuk practices at 2204 Lexington Ave N Apt 10, Roseville, MN 55113. The listed phone number is (612) 578-9260.

What is Jeffrey Korolchuk's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Jeffrey Korolchuk was last updated on March 10, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.