Organization Active NPI

Peaceworks

  • Massage Therapist
  • Minneapolis, MN
National Provider Identifier
1003260977
Registry record updated Apr 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
PEACEWORKS
Practice address
4820 Minnetonka Blvd
Minneapolis, MN 55416-2263
Phone
(612) 965-0542
NPI assigned
Apr 18, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Julianne Druzbacky, LMT
Title
Owner Operator
Phone
(612) 965-0542

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X Primary

Addresses

Primary practice location

4820 Minnetonka Blvd
Minneapolis, MN 55416-2263

Mailing address

95 Coach Light Dr
Hudson, WI 54016-7770
Phone (612) 965-0563

National Provider Directory

National Provider Directory

Locations

4820 Minnetonka Blvd
Minneapolis, MN 55416
Phone (612) 965-0542

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1460937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460937600000",
    "number": "1003260977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 COACH LIGHT DR",
            "city": "HUDSON",
            "state": "WI",
            "postal_code": "540167770",
            "telephone_number": "612-965-0563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4820 MINNETONKA BLVD",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554162263",
            "telephone_number": "612-965-0542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACEWORKS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-18",
        "last_updated": "2016-04-18",
        "status": "A",
        "authorized_official_last_name": "DRUZBACKY",
        "authorized_official_first_name": "JULIANNE",
        "authorized_official_title_or_position": "OWNER OPERATOR",
        "authorized_official_telephone_number": "612-965-0542",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.