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

Jessica Phommasouvanh

Individual provider Massage Therapist · NPI 1902770621

Jessica Phommasouvanh is a Massage Therapist in Plymouth, Minnesota. Practices as a sole proprietor. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

14440 28th Pl N
Plymouth, MN 55447-4846
Phone: (763) 337-9676
Show map & directions

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

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X

Record details

NPI number1902770621
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 4, 2025
Last updated in NPPESOctober 4, 2025
Certification dateOctober 4, 2025
Mailing address11705 Colorado Ave N, Champlin, MN 55316-2503

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