National Provider Identifier
Dustin David Root, LMT
Dustin David Root, LMT is listed in the NPPES registry with a primary specialty of Massage Therapist in Fairport, NY and a listed phone number of (585) 217-2257.
Profile Overview
- NPI
- 1881926582
- Provider Type
- Individual
- Primary Specialty
- Massage Therapist
- Enumeration Date
- February 04, 2010
- Last Updated
- February 04, 2010
Practice Location
- 360 Perinton Hills Office Park
- Fairport, NY 14450-3607
Phone: (585) 217-2257
Mailing Address
- 5 Governors Cir
- Mendon, NY 14506-9606
Specialties
- Massage Therapist (225700000X)
Full Record
- NPI
- 1881926582
- Entity Type
- Individual
- Last Name
- Root
- First Name
- Dustin
- Middle Name
- David
- Name Prefix
- Mr.
- Credential
- LMT
- Mailing Street Address
- 5 Governors Cir
- Mailing City
- Mendon
- Mailing State
- NY
- Mailing ZIP Code
- 14506-9606
- Mailing Country
- US
- Mailing Phone
- (585) 217-2257
- Practice Street Address
- 360 Perinton Hills Office Park
- Practice City
- Fairport
- Practice State
- NY
- Practice ZIP Code
- 14450-3607
- Practice Country
- US
- Practice Phone
- (585) 217-2257
- Enumeration Date
- February 04, 2010
- Last Updated
- February 04, 2010
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Massage Therapist (225700000X)