Individual
MASON GAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1825 E NORTH AVE, BELTON, MO 64012-2128
(816) 775-4747
Mailing address
PO BOX 219297, KANSAS CITY, MO 64121-9297
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
08/03/2020
Last updated
08/03/2020
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