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

Krisa Lynn Fairbanks, NCBTMB, BCTMB, LMT

Individual provider Massage Therapist · NPI 1780327098

Krisa Lynn Fairbanks, NCBTMB, BCTMB, LMT is a Massage Therapist in Bloomington, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2022
What do these letters mean?
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

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Practice location Address checks out

8120 Penn Ave S Ste 100G
Bloomington, MN 55431-1368
Phone: (952) 333-4644
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 564285-08 (MN)

Record details

NPI number1780327098
Entity typeIndividual (Type 1)
GenderFemale
Credentials NCBTMB , BCTMB , LMT
Sole proprietorYes
NPI enumeratedApril 14, 2022
Last updated in NPPESApril 14, 2022
Certification dateApril 14, 2022

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