Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Fanta Kysone Sychampanakhone, CMT

Individual provider Massage Therapist · NPI 1881319085

Fanta Kysone Sychampanakhone, CMT is a Massage Therapist in Sartell, Minnesota. Licensed in Minnesota. Registered with an NPI since 2022.

Licensed in
MN
In the registry since
2022

Practice location Address checks out

234 Pine Cone Rd Ste B
Sartell, MN 56377-2504
Phone: (320) 253-5255
Fax: (320) 253-5260
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 768918 (MN)

Record details

NPI number1881319085
Entity typeIndividual (Type 1)
GenderFemale
Credentials CMT
Sole proprietorNo
NPI enumeratedOctober 10, 2022
Last updated in NPPESOctober 10, 2022
Certification dateSeptember 29, 2022

Other providers in Sartell