Individual
JASON CARL MASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, CSCS
Contact information
Practice address
32 LESLIE O JOHNSON ROAD, GLOUCESTER, MA 01930
(617) 851-6665
Mailing address
12 COX CT UNIT PHA, BEVERLY, MA 01915-4843
(617) 851-6665
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2410
MA
Other
Enumeration date
01/09/2024
Last updated
01/09/2024
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