Individual
GARRISON MAST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1729 W GREENTREE DR STE 101, TEMPE, AZ 85284-2712
(480) 785-1765
Mailing address
3913 E CODY AVE, GILBERT, AZ 85234-3003
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
LPT-33007
AZ
225100000X
Physical Therapist
Primary
LPT-33007
AZ
Other
Enumeration date
06/13/2023
Last updated
05/14/2025
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