Jo Ellen Sullivan Kanne, | |
5747 W Broadway Ave Ste 112, Crystal, MN 55428-3881 | |
(612) 205-3079 | |
Not Available |
Full Name | Jo Ellen Sullivan Kanne |
---|---|
Gender | Female |
Speciality | Massage Therapist |
Location | 5747 W Broadway Ave Ste 112, Crystal, Minnesota |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1962113803 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225700000X | Massage Therapist | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
---|---|
Jo Ellen Sullivan Kanne, 3542 Girard Ave N, Minneapolis, MN 55412-2418 Ph: (612) 205-3079 | Jo Ellen Sullivan Kanne, 5747 W Broadway Ave Ste 112, Crystal, MN 55428-3881 Ph: (612) 205-3079 |
Haneefah King, AESTHETICIAN Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 2960 Winnetka Ave N Ste 210, Crystal, MN 55427 Phone: 612-281-8989 | |
Yer Yang, MASSAGE THERAPIST Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 5531 Orchard Ave N, Crystal, MN 55429 Phone: 763-957-0084 |