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

Samuel Derossett

Individual provider Massage Therapist · NPI 1295414126

Samuel Derossett is a Massage Therapist in New Haven, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2023
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Practice location Address checks out

37681 Sandstone Trl
New Haven, MI 48048-3729
Phone: (618) 319-0945
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 7501012056 (MI)

Record details

NPI number1295414126
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 17, 2023
Last updated in NPPESJuly 17, 2023
Certification dateJuly 17, 2023
Mailing address37681 Sandstone Trl, New Haven, MI 48048-3729

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