Mark G Lattimore
Massage Therapist in Randolph, Massachusetts
1629741509- Practice location
- 10 Mazzeo Dr Ste 204, Randolph, MA 02368-3433
- Phone
- 508-904-3491
- Fax
- —
- Last updated
- July 27, 2021
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 (MA). The current practice location address for Mark Gerard Lattimore is 10 Mazzeo Dr Ste 204, Randolph, MA 02368-3433 and can be reached out via phone at 508-904-3491.
Provider Profile Details
- NPI Number
- 1629741509
- Provider Name
- Mark Gerard Lattimore
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 10 Mazzeo Dr Ste 204, Randolph, MA 02368-3433
- Phone Number
- 508-904-3491
- Primary Taxonomy
- Massage Therapist · 225700000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- July 27, 2021
- Last Update Date
- July 27, 2021
- Certification Date
- June 26, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 10 Mazzeo Dr Ste 204
Randolph, MA 02368-3433 - City
- Randolph
- State
- Massachusetts
- Zip
- 02368-3433
- Phone Number
- 508-904-3491
Provider Business Mailing Address Details
- Address
- 10 Mazzeo Dr Ste 204
Randolph, MA 02368-3433 - City
- Randolph
- State
- MA
- Zip
- 02368-3433
- Phone Number
- 508-904-3491
License Information
- License Number
- 11298
- License State
- MA
- Taxonomy
- Massage Therapist · 225700000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mark G Lattimore?
The NPI number of Mark G Lattimore is 1629741509. It was assigned on July 27, 2021 and is currently active in the NPPES registry.
What is the specialty of Mark G Lattimore?
Mark G Lattimore is registered under the primary taxonomy Massage Therapist (code 225700000X), licensed in MA under license number 11298.
Where does Mark G Lattimore practice?
The practice location is 10 Mazzeo Dr Ste 204, Randolph, MA 02368-3433. The office can be reached at 508-904-3491 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1629741509 directly on the NPPES registry website.