# HEALTHSOURCE OF MASON, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851584965
- **Authorized official:** DR. MICHAEL JOHN HANCOCK D.C. (PRESIDENT)
- **Authorized official phone:** (513) 398-2000

## Contact information

- **Practice address:** 5230 KINGS MILLS RD, MASON, OH 45040-2319
- **Practice address phone:** (513) 398-2000
- **Practice address fax:** (513) 332-9098
- **Mailing address:** 5230 KINGS MILLS RD, MASON, OH 45040-2319
- **Mailing address phone:** (513) 398-2000
- **Mailing address fax:** (513) 332-9098

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111NR0400X | Rehabilitation Chiropractor | 2177 | OH | Yes |
| 225100000X | Physical Therapist | — | NULL | — |
| 225100000X | Physical Therapist | — | — | — |

## Other

- **Enumeration date:** 08/22/2007
- **Last updated:** 04/01/2008