Provider Demographics
NPI:1598147175
Name:CHAPDELAINE, EMMI RENA (MT)
Entity Type:Individual
Prefix:MRS
First Name:EMMI
Middle Name:RENA
Last Name:CHAPDELAINE
Suffix:
Gender:F
Credentials:MT
Other - Prefix:MS
Other - First Name:EMMI
Other - Middle Name:RENA
Other - Last Name:SWEENEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:390 CHAPDELAINE ROAD
Mailing Address - Street 2:
Mailing Address - City:BROWNINGTON
Mailing Address - State:VT
Mailing Address - Zip Code:05860
Mailing Address - Country:US
Mailing Address - Phone:802-673-9734
Mailing Address - Fax:
Practice Address - Street 1:419B ROUTE 105
Practice Address - Street 2:
Practice Address - City:NEWPORT
Practice Address - State:VT
Practice Address - Zip Code:05855
Practice Address - Country:US
Practice Address - Phone:802-673-9734
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-19
Last Update Date:2015-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist