| 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 |