Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mark Gerard Lattimore

Individual provider Massage Therapist · NPI 1629741509

Mark Gerard Lattimore is a Massage Therapist in Randolph, Massachusetts. Practices as a sole proprietor. Licensed in Massachusetts.

Licensed in
MA
In the registry since
2021

Practice location Address checks out

10 Mazzeo Dr Ste 204
Randolph, MA 02368-3433
Phone: (508) 904-3491
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 11298 (MA)

Record details

NPI number1629741509
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 27, 2021
Last updated in NPPESJuly 27, 2021
Certification dateJune 26, 2021
Mailing address10 Mazzeo Dr Ste 204, Randolph, MA 02368-3433

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