Organization
SOULFULTOUCH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA PHOMMASOUVANH (MASSAGE THERAPIST)
(763) 337-9676
Entity
Organization
Contact information
Practice address
11705 COLORADO AVE N, CHAMPLIN, MN 55316-2503
(763) 337-9676
Mailing address
11705 COLORADO AVE N, CHAMPLIN, MN 55316-2503
(763) 337-9676
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
09/26/2025
Last updated
09/26/2025
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