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Individual

BRANDON TATE MASON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT, DPT

Contact information

Practice address
3355 MAIN ST, KANSAS CITY, MO 64111-1904
(816) 399-0806
(816) 743-7413
Mailing address
1200 CORPORATE DR STE 400, HOOVER, AL 35242-5424
(423) 238-7217
(423) 238-3473

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
11-06642
KS
225100000X
Physical Therapist
Primary
2022003623
MO

Other

Enumeration date
11/18/2020
Last updated
02/01/2022
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