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Jo Ellen Sullivan Kanne
Massage Therapist in Crystal, Minnesota
NPI 1962113803

Jo Ellen Sullivan Kanne is a Massage Therapist based in Minneapolis, MN. Jo Ellen Sullivan Kanne practices in Crystal, MN. The NPI Number for Jo Ellen Sullivan Kanne is 1962113803 and holds a License No. (Minnesota).

The current practice location address for Jo Ellen Sullivan Kanne is 5747 W Broadway Ave Ste 112, Crystal, MN and can be reached out via phone at 612-205-3079.

Location: 5747 W Broadway Ave Ste 112, Crystal, MN, 55412-2418
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1962113803
Provider Name
Jo Ellen Sullivan Kanne
Credential
Provider Entity Type
Individual
Gender
Female
Address
5747 W Broadway Ave Ste 112, Crystal, MN, 55412-2418
Phone Number
612-205-3079
Fax Number
Provider Enumeration Date
12/12/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5747 W Broadway Ave Ste 112
City
Crystal
State
Minnesota
Zip
55428-3881
Phone Number
612-205-3079
Fax Number
person
Provider Business Mailing Address Details
Address
5747 W Broadway Ave Ste 112
City
Crystal
State
Minnesota
Zip
55428-3881
Phone Number
612-205-3079
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
()
Definition
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.
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