Individual
JUSTIN PRESCOTT ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
421 N 7TH ST STE 205, PHILADELPHIA, PA 19123-3925
(215) 847-6227
Mailing address
123 W MOUNT AIRY AVE, PHILADELPHIA, PA 19119-2439
(215) 847-6227
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MSG014079
PA
Other
Enumeration date
10/09/2025
Last updated
10/09/2025
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