National Provider Identifier
Mark Edward Roos, L.M.T.
Mark Edward Roos, L.M.T. is listed in the NPPES registry with a primary specialty of Massage Therapist in Fairport, NY and a listed phone number of (585) 223-0644.
Profile Overview
- NPI
- 1184672255
- Provider Type
- Individual
- Primary Specialty
- Massage Therapist
- Enumeration Date
- May 04, 2006
- Last Updated
- July 08, 2007
Practice Location
- 6605 Pittsford Palmyra RD
- Suite E-9
- Fairport, NY 14450-3407
Phone: (585) 223-0644
Mailing Address
- 841 Gravel RD
- Webster, NY 14580-1717
Specialties
- Massage Therapist (225700000X)
Full Record
- NPI
- 1184672255
- Entity Type
- Individual
- Last Name
- Roos
- First Name
- Mark
- Middle Name
- Edward
- Name Prefix
- Mr.
- Credential
- L.M.T.
- Mailing Street Address
- 841 Gravel RD
- Mailing City
- Webster
- Mailing State
- NY
- Mailing ZIP Code
- 14580-1717
- Mailing Country
- US
- Mailing Phone
- (585) 671-0449
- Practice Street Address
- 6605 Pittsford Palmyra RD
- Practice Address Line 2
- Suite E-9
- Practice City
- Fairport
- Practice State
- NY
- Practice ZIP Code
- 14450-3407
- Practice Country
- US
- Practice Phone
- (585) 223-0644
- Enumeration Date
- May 04, 2006
- Last Updated
- July 08, 2007
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Massage Therapist (225700000X)
- Other Identifiers
- 1758733GG (NY, Preferred Care)