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Mark Gerard Lattimore
Massage Therapist in Randolph, Massachusetts
NPI 1629741509

Mark Gerard Lattimore is a Massage Therapist based in Randolph, MA. Mark Gerard Lattimore practices in Randolph, MA. The NPI Number for Mark Gerard Lattimore is 1629741509 and holds a License No. 11298 (Massachusetts).

The current practice location address for Mark Gerard Lattimore is 10 Mazzeo Dr Ste 204, Randolph, MA and can be reached out via phone at 508-904-3491.

Location: 10 Mazzeo Dr Ste 204, Randolph, MA, 02368-3433
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1629741509
Provider Name
Mark Gerard Lattimore
Credential
Provider Entity Type
Individual
Gender
Male
Address
10 Mazzeo Dr Ste 204, Randolph, MA, 02368-3433
Phone Number
508-904-3491
Fax Number
Provider Enumeration Date
07/27/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
10 Mazzeo Dr Ste 204
City
Randolph
State
Massachusetts
Zip
02368-3433
Phone Number
508-904-3491
Fax Number
person
Provider Business Mailing Address Details
Address
10 Mazzeo Dr Ste 204
City
Randolph
State
Massachusetts
Zip
02368-3433
Phone Number
508-904-3491
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
11298 (Massachusetts)
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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