Individual
MASON JAMES ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1401 S MAIN ST STE 104, FAIRFIELD, IA 52556-3771
(641) 209-1446
Mailing address
1401 S MAIN ST STE 104, FAIRFIELD, IA 52556-3771
(641) 209-1446
(641) 209-1447
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
106917
IA
Other
Enumeration date
06/09/2021
Last updated
06/09/2021
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