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JO ELLEN SULLIVAN KANNE
NPI 1962113803
Massage Therapist in Crystal, MN

Active since December 12, 2022
5747 W BROADWAY AVE STE 112, CRYSTAL, MN 55428(612) 205-3079 Get Directions Write a Review

NPPES record last updated: December 12, 2022. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Jo Ellen Sullivan Kanne NPPES

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

JO ELLEN SULLIVAN KANNE (NPI 1962113803) is an individual massage therapist in Crystal, Minnesota and active in the NPI registry since December 2022.

NPPES Registry Identity

NPI1962113803
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameJO ELLEN SULLIVAN KANNE
Location Address5747 W BROADWAY AVE STE 112Crystal, MN 55428-3881
Mailing Address3542 Girard Ave NMinneapolis, MN 55412-2418 · (612) 205-3079
Phone(612) 205-3079
Sole ProprietorYes
Enumeration DateDecember 12, 2022
NPPES CertifiedDecember 12, 2022
✔ NPI 1962113803 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.
5747 W BROADWAY AVE STE 112, Crystal, MN 55428
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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 Jo Ellen Kanne's NPI number?

The NPI number for Jo Ellen Kanne is 1962113803. It was assigned to this individual provider in the NPPES registry on December 12, 2022.

Where is Jo Ellen Kanne located?

Jo Ellen Kanne practices at 5747 W Broadway Ave Ste 112, Crystal, MN 55428. The listed phone number is (612) 205-3079.

What is Jo Ellen Kanne'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 Jo Ellen Kanne was last updated on December 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.