KRISA LYNN FAIRBANKS NCBTMB, BCTMB, LMT
NPI 1780327098
Massage Therapist in Bloomington, MN

Active since April 14, 2022
8120 PENN AVE S STE 100G, BLOOMINGTON, MN 55431(952) 333-4644 Get Directions Write a Review

NPPES record last updated: April 14, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Krisa Lynn Fairbanks Ncbtmb, Bctmb, Lmt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KRISA LYNN FAIRBANKS NCBTMB, BCTMB, LMT (NPI 1780327098) is an individual massage therapist in Bloomington, Minnesota, licensed in Minnesota (564285-08) and active in the NPI registry since April 2022.

NPPES Registry Identity

NPI1780327098
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameKRISA LYNN FAIRBANKSCredential: NCBTMB, BCTMB, LMT
Location Address8120 PENN AVE S STE 100GBloomington, MN 55431-1368
Mailing Address2901 W 70th StRichfield, MN 55423-1906 · (612) 430-5190
Sole ProprietorYes
Enumeration DateApril 14, 2022
NPPES CertifiedApril 14, 2022
NPI 1780327098 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
License Licensed in MN · 564285-08
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
8120 PENN AVE S STE 100G, Bloomington, MN 55431

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Home Health
8120 PENN AVE S STE 100G
BLOOMINGTON, MN 55431

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Krisa Fairbanks's NPI number?

The NPI number for Krisa Fairbanks is 1780327098. It was assigned to this individual provider in the NPPES registry on April 14, 2022.

Where is Krisa Fairbanks located?

Krisa Fairbanks practices at 8120 Penn Ave S Ste 100G, Bloomington, MN 55431. The listed phone number is (952) 333-4644.

What is Krisa Fairbanks's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Krisa Fairbanks was last updated on April 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.