Provider Demographics
NPI:1831262849
Name:SCHANK, PAULA (BS, LMT)
Entity type:Individual
Prefix:MS
First Name:PAULA
Middle Name:
Last Name:SCHANK
Suffix:
Gender:F
Credentials:BS, LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:54 GIRTON PL
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14607-2113
Mailing Address - Country:US
Mailing Address - Phone:585-509-5082
Mailing Address - Fax:
Practice Address - Street 1:54 GIRTON PL
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14607-2113
Practice Address - Country:US
Practice Address - Phone:585-509-5082
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY008825225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist