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DERRICK LUNDBERG LMT
NPI 1982479325
Massage Therapist in Minneapolis, MN

Active since November 15, 2023
1224 2ND ST NE, MINNEAPOLIS, MN 55413(612) 345-5648 Get Directions Write a Review

NPPES record last updated: November 15, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Derrick Lundberg Lmt NPPES

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

DERRICK LUNDBERG LMT (NPI 1982479325) is an individual massage therapist in Minneapolis, Minnesota and active in the NPI registry since November 2023.

NPPES Registry Identity

NPI1982479325
Entity TypeIndividualMale
Primary Taxonomy225700000X
Provider Legal NameDERRICK LUNDBERGCredential: LMT
Location Address1224 2ND ST NEMinneapolis, MN 55413-1130
Mailing Address2194 Lexington Ave N Apt 12Roseville, MN 55113-4351 · (651) 214-2476
Phone(612) 345-5648
Sole ProprietorYes
Enumeration DateNovember 15, 2023
NPPES CertifiedNovember 15, 2023
✔ NPI 1982479325 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.
1224 2ND ST NE, Minneapolis, MN 55413
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EMILY ANN NYBERG LAC, DIPL. AC., MAC
Acupuncturist
1224 2ND ST NE
MINNEAPOLIS, MN 55413
Hennepin County (612) 345-5648
DARCY HOLDERMAN
Massage Therapist
1224 2ND ST NE
MINNEAPOLIS, MN 55413
Hennepin County (612) 399-6322
MS. MEGAN ONDINE ODELL L.AC.
Acupuncturist
1224 2ND ST NE, SUITE 201
MINNEAPOLIS, MN 55413
Hennepin County (612) 298-8738
HEIDI GRASSBAUGH
Massage Therapist
1224 2ND ST NE
MINNEAPOLIS, MN 55413
Hennepin County (612) 399-6322
DAVID POTTER
Massage Therapist
1224 2ND ST NE
MINNEAPOLIS, MN 55413
Hennepin County (612) 399-6322
PORTIA RICHARDSON L.AC.
Acupuncturist
1224 2ND ST NE
MINNEAPOLIS, MN 55413
Hennepin County (612) 298-8738
JOANNA DEMKIEWICZ
Massage Therapist
1224 2ND ST NE
MINNEAPOLIS, MN 55413
Hennepin County (612) 345-5648
MR. BRIAN BANTA L.AC
Acupuncturist
1224 2ND ST NE
MINNEAPOLIS, MN 55413
Hennepin County (612) 399-6322

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 Derrick Lundberg's NPI number?

The NPI number for Derrick Lundberg is 1982479325. It was assigned to this individual provider in the NPPES registry on November 15, 2023.

Where is Derrick Lundberg located?

Derrick Lundberg practices at 1224 2nd St NE, Minneapolis, MN 55413. The listed phone number is (612) 345-5648.

What is Derrick Lundberg'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 Derrick Lundberg was last updated on November 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.