Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARK GERARD LATTIMORE
Active Sole ProprietorMARK GERARD LATTIMORE is a Massage Therapist healthcare provider located in RANDOLPH, Massachusetts. NPI 1629741509 is currently active in the NPPES registry. Verify at CMS.
Massage Therapist · RANDOLPH, MA
Registration Details
- NPI Number
- 1629741509
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 27, 2021 (5.0255088997881 yrs)
- Last Updated
- Jul 27, 2021
- License
-
11298 (MA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
10 MAZZEO DR STE 204RANDOLPH, MA, 023683433Browse MA providers · Browse ZIP 02368
- Phone
- 5089043491
- Primary Specialty
-
Massage Therapist
225700000X
Other Massage Therapist Providers in RANDOLPH, MA
| Name | Credential | NPI |
|---|---|---|
| YANIRA CASTILLO | LMT | 1023245990 |
| OKSANA DJUS | — | 1144692096 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.