Provider Demographics
NPI:1336945880
Name:ROSEN, DANIEL A (LMT)
Entity type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:A
Last Name:ROSEN
Suffix:
Gender:
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:59 SOLAR WAY
Mailing Address - Street 2:
Mailing Address - City:GREENFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01301-3872
Mailing Address - Country:US
Mailing Address - Phone:413-325-5980
Mailing Address - Fax:
Practice Address - Street 1:51 DAVIS ST
Practice Address - Street 2:
Practice Address - City:GREENFIELD
Practice Address - State:MA
Practice Address - Zip Code:01301-2470
Practice Address - Country:US
Practice Address - Phone:413-325-5980
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-24
Last Update Date:2025-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA18415172M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172M00000XOther Service ProvidersMechanotherapist