MS. Chanel Marie Poole, LMT

NPI #1053912162 in Lackawanna, New York

Provider Information

NPI Number: 1053912162
Entity Type: Individual
Name: MS. Chanel Marie Poole, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Nov 4, 2020
Last Updated: Jan 1, 2024

Practice Location

Address: 1234 ABBOTT RD STE 230
City: Lackawanna
State: New York
ZIP Code: 14218-1946
Phone: (716) 242-8588

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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