Individual provider · Type 1 NPI
Jo Ellen Sullivan Kanne
Massage Therapist · Crystal, MN
NPI number
1962113803
Active
Practice location
5747 W Broadway Ave Ste 112
Crystal, MN 55428-3881
Mailing address
3542 Girard Ave N
Minneapolis, MN 55412-2418
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | None listed |
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.
Other massage therapist providers in Crystal
About NPI 1962113803
Jo Ellen Sullivan Kanne's National Provider Identifier is 1962113803, issued on Dec 12, 2022. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Crystal, MN. The record was last updated on Dec 12, 2022.