Healthcare Provider Details

I. General information

NPI: 1184548075
Provider Name (Legal Business Name): MASTER OF MASSAGE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/05/2026
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

811 E 56TH ST
MINNEAPOLIS MN
55417-2407
US

IV. Provider business mailing address

811 E 56TH ST
MINNEAPOLIS MN
55417-2407
US

V. Phone/Fax

Practice location:
  • Phone: 612-817-6852
  • Fax:
Mailing address:
  • Phone: 612-817-6852
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State

VIII. Authorized Official

Name: MAKAYLA ECKBERG
Title or Position: OWNER
Credential: CMT
Phone: 612-817-6852