Jill Kathleen Andert, NCTM, LCMT

Individual provider Active NPI Massage Therapist · Little Canada, MN

NPI 1760622989 · NPPES record last updated Feb 27, 2009

Key facts

NPI
1760622989
Entity type
Individual (NPI type 1)
Primary specialty
Massage Therapist 225700000X
License
2008-68 (MN)
Practice address
27 Little Canada Rd E
Little Canada, MN 55117-1322
Phone
(651) 490-3446
NPI assigned
Feb 27, 2009
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
2008-68MNMDMassage Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 2008-68 MN Yes

Addresses

Primary practice location

27 Little Canada Rd E
Little Canada, MN 55117-1322

Mailing address

27 Little Canada Rd E
Little Canada, MN 55117-1322
Phone (651) 490-3446

Other names

  • Miss Jill Kathleen Ryynanen Former name

Other providers in Little Canada, MN

All providers in Little Canada, MN · Massage Therapist in Minnesota

Sources for this page

Verify at the official NPI Registry.