| 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 |