Fanta Kysone Sychampanakhone, CMT | |
234 Pine Cone Rd Ste B, Sartell, MN 56377-2504 | |
(320) 253-5255 | |
(320) 253-5260 |
Full Name | Fanta Kysone Sychampanakhone |
---|---|
Gender | Female |
Speciality | Massage Therapist |
Location | 234 Pine Cone Rd Ste B, Sartell, Minnesota |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1881319085 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225700000X | Massage Therapist | 768918 (Minnesota) | Primary |
Mailing Address | Practice Location Address |
---|---|
Fanta Kysone Sychampanakhone, CMT 234 Pine Cone Rd Ste B, Sartell, MN 56377-2504 Ph: (320) 253-5255 | Fanta Kysone Sychampanakhone, CMT 234 Pine Cone Rd Ste B, Sartell, MN 56377-2504 Ph: (320) 253-5255 |
Lindsey Lukason, Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 161 19th St S Ste 101, Sartell, MN 56377 Phone: 320-257-0360 | |
Amanda Bzdok, CMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 2380 Troop Dr Unit 201, Sartell, MN 56377 Phone: 320-309-6343 | |
Chae Norman, Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 303 4th Ave S, Suite C, Sartell, MN 56377 Phone: 218-790-0572 | |
Amanda Rose Schmitz, CMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 161 19th St S, Sartell, MN 56377 Phone: 320-257-0360 | |
Jennifer Michelle Sloan, L.M.T. Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 161 19th St S Ste 101, Sartell, MN 56377 Phone: 320-257-0360 |