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Samuel Derossett
Massage Therapist in New Haven, Michigan
NPI 1295414126

Samuel Derossett is a Massage Therapist based in New Haven, MI. Samuel Derossett practices in New Haven, MI. The NPI Number for Samuel Derossett is 1295414126 and holds a License No. 7501012056 (Michigan).

The current practice location address for Samuel Derossett is 37681 Sandstone Trl, New Haven, MI and can be reached out via phone at 618-319-0945.

Location: 37681 Sandstone Trl, New Haven, MI, 48048-3729
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1295414126
Provider Name
Samuel Derossett
Credential
Provider Entity Type
Individual
Gender
Male
Address
37681 Sandstone Trl, New Haven, MI, 48048-3729
Phone Number
618-319-0945
Fax Number
Provider Enumeration Date
07/17/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
37681 Sandstone Trl
City
New Haven
State
Michigan
Zip
48048-3729
Phone Number
618-319-0945
Fax Number
person
Provider Business Mailing Address Details
Address
37681 Sandstone Trl
City
New Haven
State
Michigan
Zip
48048-3729
Phone Number
618-319-0945
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
7501012056 (Michigan)
Definition
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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