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Individual

MELINDA L MASON

Active
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Individual

MELINDA L MASON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0169442
DEPT. OF LABOR & INDUSTRY
WA
01
—
3455MA
REGENCE BLUE SHIELD
WA
01
—
710883456-98501-A003
TRICARE
WA
01
—
710883456-98512-A003
TRICARE
WA
01
—
7110MA
REGENCE BLUE SHIELD
WA
01
—
7574020
AETNA
WA
05
—
8330979
—
WA
01
—
8934744
L&I CRIME VICTIMS
WA
01
—
P00008119
RAILROAD MEDICARE
WA
Enumeration date
06/06/2006
Last updated
01/16/2009
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