Whalio Doctors

NPI 1013492230

Ellissa Lauren Mason, PTA

Practitioner Physical Therapy Assistant Springfield, TN

Practice location

Address
3131 Tom Austin Hwy, Springfield, TN 37172-4801
Phone
(615) 382-7979
Mailing address
133 Highway 321, Beebe, AR 72012-9726

Registered specialties

Physical Therapy Assistant Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 4350 (AR)

Registry record

NPI
1013492230
Entity type
Individual
Sex (as registered)
Female
NPI issued
3 Oct 2018
Record last updated
3 Oct 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.