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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JO ELLEN SULLIVAN KANNE

Active Sole Proprietor

JO ELLEN SULLIVAN KANNE is a Massage Therapist healthcare provider located in CRYSTAL, Minnesota. NPI 1962113803 is currently active in the NPPES registry. Verify at CMS.

Massage Therapist · CRYSTAL, MN

Registration Details

NPI Number
1962113803
Provider Type
Individual
Gender
Female
NPI Issued
Dec 12, 2022 (3.6508996066452 yrs)
Last Updated
Dec 12, 2022
Sole Proprietor
Yes

Practice Information

Address
5747 W BROADWAY AVE STE 112
CRYSTAL, MN, 554283881
Browse MN providers · Browse ZIP 55428
Phone
6122053079
Primary Specialty
Massage Therapist
225700000X

Other Massage Therapist Providers in CRYSTAL, MN

Name Credential NPI
YER YANG MASSAGE THERAPIST 1962910588
MRS. RENATTA ELIZABETH FASCHING HUNT CMT 1043950280
HANEEFAH KING AESTHETICIAN 1922726389
STEVE NTUMBA 1922967082
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.