Healthcare Provider Details

I. General information

NPI: 1780588657
Provider Name (Legal Business Name): JOHN ROCCO QUINT NMT
Entity Type: Individual
Gender:
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/05/2026
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1037 STARLIGHT LN
WESTERVILLE OH
43082-7092
US

IV. Provider business mailing address

1037 STARLIGHT LN
WESTERVILLE OH
43082-7092
US

V. Phone/Fax

Practice location:
  • Phone: 614-208-3382
  • Fax:
Mailing address:
  • Phone: 614-208-3382
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number019832
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: