Individual provider · Type 1 NPI

Fanta Kysone Sychampanakhone, CMT

Massage Therapist · Sartell, MN

NPI number 1881319085 Active

Practice location

234 Pine Cone Rd Ste B
Sartell, MN 56377-2504

Call (320) 253-5255 Map

Fax (320) 253-5260

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X768918 (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.

3 other providers at this address

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About NPI 1881319085

Fanta Kysone Sychampanakhone, CMT's National Provider Identifier is 1881319085, issued on Oct 10, 2022. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Sartell, MN. The record was last updated on Oct 10, 2022.