Individual provider · Type 1 NPI

Justin Prescott Rose, LMT

Massage Therapist · Philadelphia, PA

NPI number 1689549404 Active

Practice location

421 N 7th St Ste 205
Philadelphia, PA 19123-3925

Call (215) 847-6227 Map

Mailing address

123 W Mount Airy Ave
Philadelphia, PA 19119-2439

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMSG014079 (PA)

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 1689549404

Justin Prescott Rose, LMT's National Provider Identifier is 1689549404, issued on Oct 9, 2025. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Philadelphia, PA. The record was last updated on Oct 9, 2025.