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

Jo Ellen Sullivan Kanne

Individual provider Massage Therapist · NPI 1962113803

Jo Ellen Sullivan Kanne is a Massage Therapist in Crystal, Minnesota. Practices as a sole proprietor. Registered with an NPI since 2022.

In the registry since
2022
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Practice location Address checks out

5747 W Broadway Ave Ste 112
Crystal, MN 55428-3881
Phone: (612) 205-3079
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X

Record details

NPI number1962113803
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 12, 2022
Last updated in NPPESDecember 12, 2022
Certification dateDecember 12, 2022
Mailing address3542 Girard Ave N, Minneapolis, MN 55412-2418

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