Individual
MASAI TAKAHASHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6 JOHN ST, SOUTHBOROUGH, MA 01772-1629
(857) 366-0798
Mailing address
6 JOHN ST, SOUTHBOROUGH, MA 01772-1629
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1830
MA
Other
Enumeration date
03/14/2026
Last updated
03/14/2026
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