Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
FANTA KYSONE SYCHAMPANAKHONE, CMT
ActiveFANTA KYSONE SYCHAMPANAKHONE, CMT is a Massage Therapist healthcare provider located in SARTELL, Minnesota. NPI 1881319085 is currently active in the NPPES registry. Verify at CMS.
Massage Therapist · SARTELL, MN
Registration Details
- NPI Number
- 1881319085
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 10, 2022 (3.8044125395607 yrs)
- Last Updated
- Oct 10, 2022
- License
-
768918 (MN)
Practice Information
- Address
-
234 PINE CONE RD STE BSARTELL, MN, 563772504Browse MN providers · Browse ZIP 56377
- Phone
- 3202535255
- Fax
- 3202535260
- Primary Specialty
-
Massage Therapist
225700000X
Other Massage Therapist Providers in SARTELL, MN
| Name | Credential | NPI |
|---|---|---|
| CHAE NORMAN | — | 1235783515 |
| LINDSEY LUKASON | — | 1023639044 |
| JENNIFER MICHELLE SLOAN | L.M.T. | 1750989059 |
| AMANDA ROSE SCHMITZ | CMT | 1528653656 |
| AMANDA BZDOK | CMT | 1114596731 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.