NPI 1053851253
Marissa Dian Mason, ATC
Practice location
- Address
- 364 Ridgeway Dr, Bridgeport, WV 26330-1276
- Phone
- (304) 641-1699
Registered specialties
Athletic Trainer
Primary
Registry record
- NPI
- 1053851253
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 7 Mar 2017
- Record last updated
- 7 Mar 2017
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.