Individual provider · Type 1 NPI
Krisa Lynn Fairbanks, NCBTMB, BCTMB, LMT
Massage Therapist · Bloomington, MN
NPI number
1780327098
Active
Practice location
8120 Penn Ave S Ste 100G
Bloomington, MN 55431-1368
Mailing address
2901 W 70th St
Richfield, MN 55423-1906
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 564285-08 (MN) |
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.
Another provider at this address
Other massage therapist providers in Bloomington
- Valerie Darger, BCTMBMassage Therapist Bloomington, MN NPI 1013730357
- Mohammad NooriMassage Therapist Bloomington, MN NPI 1063122521
- Kayla Marie DutterMassage Therapist Bloomington, MN NPI 1083858807
- Jolene Catherine Wiese, CMTMassage Therapist Bloomington, MN NPI 1093948838
- Justin JacobsenMassage Therapist Bloomington, MN NPI 1104769934
- Collin Mackay, LMTMassage Therapist Bloomington, MN NPI 1134435266
- Shelonda M. Reed, CMTMassage Therapist Bloomington, MN NPI 1194098996
- Valerie Alice Johnson, N.C.T.M.BMassage Therapist Bloomington, MN NPI 1205913563
About NPI 1780327098
Krisa Lynn Fairbanks, NCBTMB, BCTMB, LMT's National Provider Identifier is 1780327098, issued on Apr 14, 2022. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Bloomington, MN. The record was last updated on Apr 14, 2022.