LILLIAN MUSUNGU SHIRAKU (NPI# 1871108704) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871108704 |
| Entity Type | Individual |
| Full Name | LILLIAN MUSUNGU SHIRAKU |
| Practice Address |
12970 63rd Ave N Maple Grove MN 55369-6001 |
| Mailing Address |
1363 10th St Nw Apt 301 Saint Paul MN 55112-6747 |
| Practice Telephone | 5075131860 |
| Mailing Telephone | 5075131860 |
| Enumeration Date | 2020-09-08 |
| Last Update Date | 2020-09-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
12970 63RD AVE N |
| City | MAPLE GROVE |
| State | MN |
| Zip Code | 55369-6001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376144188 | Bonnie Rose Theis | Counselor | 24 3rd Ave Ne, Unit B, Osseo, MN 55369 | 2020-11-06 |
| 1356976328 | Kirollos Samir Hanna | Pharmacist | 14500 99th Ave N, Suite 0a030, Maple Grove, MN 55369 | 2020-03-10 |
| 1396395463 | Susan Osborne | Technician | 9240 Orchid Lane, Maple Grove, MN 55369 | 2019-09-19 |
| 1710537196 | Janis Langsdale | Technician | 11070 108 Avenue North, Maple Grove, MN 55369 | 2019-09-17 |
| 1043724552 | Tracey Wahlquist | Speech-Language Pathologist | 11100 86th Ave N, Maple Grove, MN 55369 | 2017-11-20 |
| 1154860005 | Kayla Uptagrafft | Specialist/Technologist | 9555 Upland Lane Norh, Maple Grove, MN 55369 | 2017-02-13 |
| 1750823324 | Jennifer Ranallo | Social Worker | 9600 Upland Ln N Ste 110, Maple Grove, MN 55369 | 2016-11-13 |
| 1558723999 | Debra Grace Boersma | Advanced Practice Midwife | 9825 Hospital Dr#205, Maple Grove, MN 55369 | 2016-03-24 |
| 1396129433 | Maple Grove Smiles Dentistry, PC | Dentist | 12775 Elm Creek Blvd N, Maple Grove, MN 55369 | 2015-07-18 |
| 1558755900 | Krista Newman | Counselor | 24 3rd St Nw, Unit B, Osseo, MN 55369 | 2015-03-24 |
| Find all providers in zip 55369 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134666928 | Emily Starr Canning-williams | Massage Therapist | 7225 Hemlock Ln N, 214, Maple Grove, MN 55369-5505 | 2017-01-31 |
| 1184168064 | Crystal Lee Williams | Massage Therapist | 13700 Reimer Dr N Ste 240, Maple Grove, MN 55311-4530 | 2016-12-12 |
| 1134409121 | Melissa Kae Redfield | Massage Therapist | 12069 Elm Creek Blvd N, Maple Grove, MN 55369-7094 | 2011-08-22 |
| 1255664736 | Amy Marie Erickson | Massage Therapist | 16334 County Road 30, Maple Grove, MN 55311-1207 | 2009-09-15 |
| 1932360443 | Denise Sandra Bekkum | Massage Therapist | 6514 Bluebird Dr, Maple Grove, MN 55369-6010 | 2008-06-18 |
| 1871667444 | Ross Alexander Bergfalk | Massage Therapist | 7237 Forestview Ln N, Maple Grove, MN 55369-5501 | 2006-11-17 |
| 1578162996 | Ashley Ford | Massage Therapist | 16334 County Road 30, Maple Grove, MN 55311-1207 | 2020-10-19 |
| 1023660982 | Pamela January | Massage Therapist | 7237 Forestview Ln N, Maple Grove, MN 55369-5501 | 2019-07-11 |
| 1932762135 | Lana Dehmer | Massage Therapist | 16334 County Road 30, Maple Grove, MN 55311-1207 | 2019-04-15 |
| 1285104166 | Jill B Troutner | Massage Therapist | 9325 Upland Ln N Ste 240, Maple Grove, MN 55369-4486 | 2018-12-04 |
| Find all providers in MAPLE GROVE | ||||
| City | MAPLE GROVE |
| Zip Code | 55369 |
Please comment or provide details below to improve the information on LILLIAN MUSUNGU SHIRAKU.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.