Individual
MRS. MARY BETH MASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT/ATC
Contact information
Practice address
261 RUCCIO WAY, LEXINGTON, KY 40503-3662
(859) 266-0404
Mailing address
678 BROOKGREEN LN, LEXINGTON, KY 40509-1952
(859) 263-9229
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
001747
KY
Other
Enumeration date
03/17/2009
Last updated
03/17/2009
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