NPI 1669807400
Derrick Mason, RKT
Practice location
- Address
- 7400 Merton Minter St, San Antonio, TX 78229-4404
- Phone
- (210) 617-5300
- Mailing address
- 200 Blue Gable Rd APT. 410, Hattiesburg, MS 39401-3004
Registered specialties
Kinesiotherapist
Primary
Registry record
- NPI
- 1669807400
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 12 Sep 2013
- Record last updated
- 12 Sep 2013
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.