Provider Demographics
NPI:1801191432
Name:SAYPANHA, GER
Entity Type:Individual
Prefix:
First Name:GER
Middle Name:
Last Name:SAYPANHA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:543 COON RAPIDS BLVD NW
Mailing Address - Street 2:SUITE B
Mailing Address - City:COON RAPIDS
Mailing Address - State:MN
Mailing Address - Zip Code:55433-5500
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:543 COON RAPIDS BLVD NW
Practice Address - Street 2:SUITE B
Practice Address - City:COON RAPIDS
Practice Address - State:MN
Practice Address - Zip Code:55433-5500
Practice Address - Country:US
Practice Address - Phone:763-432-0648
Practice Address - Fax:763-432-0649
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-12
Last Update Date:2011-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist