Individual provider · Type 1 NPI

Samuel Derossett

Massage Therapist · New Haven, MI

NPI number 1295414126 Active

Practice location

37681 Sandstone Trl
New Haven, MI 48048-3729

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X7501012056 (MI)

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 1295414126

Samuel Derossett's National Provider Identifier is 1295414126, issued on Jul 17, 2023. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in New Haven, MI. The record was last updated on Jul 17, 2023.