LILLIAN MUSUNGU SHIRAKU
NPI 1871108704
Massage Therapist in Maple Grove, MN

Active since September 08, 2020
12970 63RD AVE N, MAPLE GROVE, MN 55369(507) 513-1860 Get Directions Write a Review

NPPES record last updated: September 8, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Female
  • Massage Therapist

About LILLIAN SHIRAKU

This page provides the complete NPI Profile along with additional information for Lillian Shiraku, a provider established in Maple Grove, Minnesota with a medical specialization in Massage Therapist. The healthcare provider is registered in the NPI registry with number 1871108704 assigned on September 2020. The practitioner's primary taxonomy code is 225700000X. The provider is registered as an individual and her NPI record was last updated 6 years ago.

NPI
1871108704 Verify this NPI
Provider Name
LILLIAN MUSUNGU SHIRAKU
Gender
Female
Entity Type
Individual
Location Address
12970 63RD AVE N MAPLE GROVE, MN 55369
Location Phone
(507) 513-1860
Mailing Address
1363 10TH ST NW APT 301 SAINT PAUL, MN 55112
Mailing Phone
(507) 513-1860
Is Sole Proprietor?
Yes
Enumeration Date
09-08-2020
Last Update Date
09-08-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Massage Therapist

Taxonomy Code
225700000X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Description
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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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1871108704, enumerated as an "individual" on September 08, 2020.

The provider is located at 12970 63RD AVE N MAPLE GROVE, MN 55369 and the phone number is (507) 513-1860.

Massage Therapist with taxonomy code 225700000X.