SAMUEL DEROSSETT

Massage Therapist

Active Individual
NPI: 1295414126

Practice Address

37681 SANDSTONE TRL
New Haven, MI 48048

Phone: (618) 319-0945

Specialties

Specialty Code Primary License
Massage Therapist 225700000X Yes 7501012056 (MI)

Frequently Asked Questions

NPI 1295414126 is the National Provider Identifier for SAMUEL DEROSSETT, a Massage Therapist provider located in New Haven, MI. This NPI was enumerated on July 17, 2023.
SAMUEL DEROSSETT practices at 37681 SANDSTONE TRL, New Haven, MI 48048.

Quick Facts

NPI
1295414126
Type
Individual
Enumerated
Jul 17, 2023
Last Updated
Jul 17, 2023

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