1. Home
  2. Directory
  3. Minnesota
  4. Plymouth
  5. Massage Therapist
  6. NPI Profile

JESSICA PHOMMASOUVANH
NPI 1902770621
Massage Therapist in Plymouth, MN

Active since October 04, 2025
14440 28TH PL N, PLYMOUTH, MN 55447(763) 337-9676 Get Directions Write a Review

NPPES record last updated: October 4, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Jessica Phommasouvanh NPPES

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

JESSICA PHOMMASOUVANH (NPI 1902770621) is an individual massage therapist in Plymouth, Minnesota and active in the NPI registry since October 2025.

NPPES Registry Identity

NPI1902770621
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameJESSICA PHOMMASOUVANH
Location Address14440 28TH PL NPlymouth, MN 55447-4846
Mailing Address11705 Colorado Ave NChamplin, MN 55316-2503 · (763) 337-9676
Phone(763) 337-9676
Sole ProprietorYes
Enumeration DateOctober 4, 2025
NPPES CertifiedOctober 4, 2025
✔ NPI 1902770621 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
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.
14440 28TH PL N, Plymouth, MN 55447
Open in Google Maps ↗

Other Providers at the Same Location NPPES 3

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

ELIZABETH DENZER PA-C
Physician Assistant
14440 28TH PL N
PLYMOUTH, MN 55447
Hennepin County (612) 444-3000
KEVIN JAMES SCHNEIDER DC
Chiropractor
14440 28TH PL N, SUITE 200B
PLYMOUTH, MN 55447
Hennepin County (612) 353-4486
UPTOWN HEALING CLINIC LLC
Chiropractor
14440 28TH PL N, SUITE 200B
PLYMOUTH, MN 55447
Hennepin County (612) 353-4486

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 Jessica Phommasouvanh's NPI number?

The NPI number for Jessica Phommasouvanh is 1902770621. It was assigned to this individual provider in the NPPES registry on October 4, 2025.

Where is Jessica Phommasouvanh located?

Jessica Phommasouvanh practices at 14440 28th Pl N, Plymouth, MN 55447. The listed phone number is (763) 337-9676.

What is Jessica Phommasouvanh'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 Jessica Phommasouvanh was last updated on October 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.