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SAMUEL DEROSSETT
NPI 1295414126
Massage Therapist in New Haven, MI

Active since July 17, 2023
37681 SANDSTONE TRL, NEW HAVEN, MI 48048(618) 319-0945 Get Directions Write a Review

NPPES record last updated: July 17, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Samuel Derossett NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMUEL DEROSSETT (NPI 1295414126) is an individual massage therapist in New Haven, Michigan, licensed in Michigan (7501012056) and active in the NPI registry since July 2023.

NPPES Registry Identity

NPI1295414126
Entity TypeIndividualMale
Primary Taxonomy225700000X
Provider Legal NameSAMUEL DEROSSETT
Location Address37681 SANDSTONE TRLNew Haven, MI 48048-3729
Mailing Address37681 Sandstone TrlNew Haven, MI 48048-3729 · (618) 319-0945
Phone(618) 319-0945
Sole ProprietorYes
Enumeration DateJuly 17, 2023
NPPES CertifiedJuly 17, 2023
✔ NPI 1295414126 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
License✔ Licensed in MI · 7501012056
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.
37681 SANDSTONE TRL, New Haven, MI 48048
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samuel Derossett's NPI number?

The NPI number for Samuel Derossett is 1295414126. It was assigned to this individual provider in the NPPES registry on July 17, 2023.

Where is Samuel Derossett located?

Samuel Derossett practices at 37681 Sandstone Trl, New Haven, MI 48048. The listed phone number is (618) 319-0945.

What is Samuel Derossett's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Samuel Derossett was last updated on July 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.