Individual
WHITNEY MASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5411 I 55 N, JACKSON, MS 39206-3616
(601) 940-5906
Mailing address
114 TALONS TRL, MADISON, MS 39110-6019
(601) 940-5906
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA5713
MS
Other
Enumeration date
04/11/2016
Last updated
04/11/2016
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