National Provider Identifier
Chanel Marie Poole, LMT
Chanel Marie Poole, LMT is listed in the NPPES registry with a primary specialty of Massage Therapist in Lackawanna, NY and a listed phone number of (716) 242-8588.
Profile Overview
- NPI
- 1053912162
- Provider Type
- Individual
- Primary Specialty
- Massage Therapist
- Enumeration Date
- November 04, 2020
- Last Updated
- January 01, 2024
Practice Location
- 1234 Abbott RD Ste 230
- Lackawanna, NY 14218-1946
Phone: (716) 242-8588
Specialties
- Massage Therapist (225700000X)
Full Record
- NPI
- 1053912162
- Entity Type
- Individual
- Last Name
- Poole
- First Name
- Chanel
- Middle Name
- Marie
- Name Prefix
- MS.
- Credential
- LMT
- Mailing Street Address
- 1234 Abbott RD Ste 230
- Mailing City
- Lackawanna
- Mailing State
- NY
- Mailing ZIP Code
- 14218-1946
- Mailing Country
- US
- Mailing Phone
- (716) 473-2404
- Practice Street Address
- 1234 Abbott RD Ste 230
- Practice City
- Lackawanna
- Practice State
- NY
- Practice ZIP Code
- 14218-1946
- Practice Country
- US
- Practice Phone
- (716) 242-8588
- Enumeration Date
- November 04, 2020
- Last Updated
- January 01, 2024
- Sex
- Female
- Sole Proprietor
- Yes
- Taxonomy Group 1
- 193400000X Single Specialty Group
- Certification Date
- January 01, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Massage Therapist (225700000X)