Individual provider · Type 1 NPI

Shannon Beth Booth, LMT

Massage Therapist · Kenmore, NY

NPI number 1992930028 Active

Practice location

1223 Military Rd
Kenmore, NY 14217-1832

Call (716) 807-2221 Map

Fax (716) 693-8923

Mailing address

84 Stenzil St
North Tonawanda, NY 14120-6517

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X022059 (NY)

Massage Therapist: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

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About NPI 1992930028

Shannon Beth Booth, LMT's National Provider Identifier is 1992930028, issued on May 19, 2009. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Kenmore, NY. The record was last updated on May 19, 2009.