NPI 1114600848

Mason Cochran, PTA

Practitioner Physical Therapy Assistant West Plains, MO

Practice location

Address: 1111 N Kentucky Ave, West Plains, MO 65775-2028
Phone: (417) 257-5959
Mailing address: 5920 Private Road 1604, West Plains, MO 65775-5371

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 2023028649 (MO)

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Registry record

NPI: 1114600848
Entity type: Individual
Sex (as registered): Male
NPI issued: 9 Aug 2023
Record last updated: 9 Aug 2023

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.