CHANEL DIANE SMITH NPI 1669340360

NPI Information

  • NPI: 1669340360
  • Provider Name: CHANEL DIANE SMITH
  • Classification: Massage Therapist - 225700000X
  • Entity Type: Individual
  • Address: 2117 CARY GRANT CT
    LAS VEGAS, NV
    ZIP 89142
  • Phone: (610) 680-8504

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NPI Details

Chanel Diane Smith is a massage therapist in Las Vegas, NV. The provider is 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. Chanel Diane Smith NPI is 1669340360. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2117 CARY GRANT CT
LAS VEGAS, NV
ZIP 89142-704
Phone: (610) 680-8504

The enumeration date for this NPI number is 10/25/2025 and was last updated on 10/25/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1225700000XMassage TherapistNVMT.13096NEVADAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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