| 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 |