Individual
MR. MASON ANDREW COOKSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MAT, ATC
Contact information
Practice address
2400 MIAMI VALLEY DR, CENTERVILLE, OH 45459-4774
(937) 438-2400
Mailing address
241 W 2ND ST, XENIA, OH 45385-3527
(513) 601-6650
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT006964
OH
Other
Enumeration date
06/10/2024
Last updated
06/10/2024
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