Individual
MARK MASALSKIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
800 UNIVERSITY DR, MARYVILLE, MO 64468-6015
(660) 562-1212
Mailing address
911 DUTCH MILL DR, BALLWIN, MO 63011-3564
(314) 686-3644
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
2015026274
MO
Other
Enumeration date
03/02/2017
Last updated
03/02/2017
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