National Provider Identifier
Shannon Beth Booth, LMT
Shannon Beth Booth, LMT is listed in the NPPES registry with a primary specialty of Massage Therapist in Kenmore, NY and a listed phone number of (716) 807-2221.
Profile Overview
- NPI
- 1992930028
- Provider Type
- Individual
- Primary Specialty
- Massage Therapist
- Enumeration Date
- May 19, 2009
- Last Updated
- May 19, 2009
Practice Location
- 1223 Military RD
- Kenmore, NY 14217-1832
Phone: (716) 807-2221
Mailing Address
- 84 Stenzil St
- North Tonawanda, NY 14120-6517
Specialties
- Massage Therapist (225700000X)
Full Record
- NPI
- 1992930028
- Entity Type
- Individual
- Last Name
- Booth
- First Name
- Shannon
- Middle Name
- Beth
- Credential
- LMT
- Mailing Street Address
- 84 Stenzil St
- Mailing City
- North Tonawanda
- Mailing State
- NY
- Mailing ZIP Code
- 14120-6517
- Mailing Country
- US
- Mailing Phone
- (716) 807-2221
- Mailing Fax
- (716) 693-8923
- Practice Street Address
- 1223 Military RD
- Practice City
- Kenmore
- Practice State
- NY
- Practice ZIP Code
- 14217-1832
- Practice Country
- US
- Practice Phone
- (716) 807-2221
- Practice Fax
- (716) 693-8923
- Enumeration Date
- May 19, 2009
- Last Updated
- May 19, 2009
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Massage Therapist (225700000X)