MS. Ellissa Lauren Mason, PTA

NPI #1013492230 in Springfield, Tennessee

Provider Information

NPI Number: 1013492230
Entity Type: Individual
Name: MS. Ellissa Lauren Mason, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Oct 3, 2018
Last Updated: Oct 3, 2018

Practice Location

Address: 3131 TOM AUSTIN HWY
City: Springfield
State: Tennessee
ZIP Code: 37172-4801
Phone: (615) 382-7979

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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