Individual
MASON SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
7926 PRESTON HWY STE 101, LOUISVILLE, KY 40219-3848
(502) 964-5404
Mailing address
7926 PRESTON HWY, LOUISVILLE, KY 40219-3848
(502) 964-5404
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
008077
KY
Other
Enumeration date
06/02/2020
Last updated
07/30/2024
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