National Provider Identifier
Molly Michele Champagne-Forte, LMT
Molly Michele Champagne-Forte, LMT is listed in the NPPES registry with a primary specialty of Occupational Therapist in Clarence, NY and a listed phone number of (315) 813-2313.
Profile Overview
- NPI
- 1023759545
- Provider Type
- Individual
- Primary Specialty
- Occupational Therapist
- Enumeration Date
- April 06, 2022
- Last Updated
- September 15, 2025
Practice Location
- 10225 Main St
- Clarence, NY 14031-2053
Phone: (315) 813-2313
Mailing Address
- 8588 Hunt Ave
- Eden, NY 14057-1314
Specialties
- Occupational Therapist (225X00000X)
- Massage Therapist (225700000X)
Full Record
- NPI
- 1023759545
- Entity Type
- Individual
- Last Name
- Champagne-Forte
- First Name
- Molly
- Middle Name
- Michele
- Credential
- LMT
- Provider Other Last Name
- Wagner
- Provider Other First Name
- Molly
- Provider Other Middle Name
- Michele
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 8588 Hunt Ave
- Mailing City
- Eden
- Mailing State
- NY
- Mailing ZIP Code
- 14057-1314
- Mailing Country
- US
- Mailing Phone
- (315) 813-2313
- Practice Street Address
- 10225 Main St
- Practice City
- Clarence
- Practice State
- NY
- Practice ZIP Code
- 14031-2053
- Practice Country
- US
- Practice Phone
- (315) 813-2313
- Enumeration Date
- April 06, 2022
- Last Updated
- September 15, 2025
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- September 15, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Occupational Therapist (225X00000X), Massage Therapist (225700000X)