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NPI Code Detail

MEDICARE: MASON DAVID PRICKETT DPT

MEDICARE: MASON DAVID PRICKETT DPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical TherapistPT004381WV
22251P0200XPediatric Physical Therapist4381WV

General Provider Information

NPI Number : 1326793316
Entity Type Code : Individual
Provider Name (Legal Business Name) : MASON DAVID PRICKETT DPT
Provider Business Mailing Address
First Line : 179 STATION PL
Second Line :
City : HURRICANE
State : WV
Zip : 25526-6578
Country : US
Telephone Number : 304-760-6300
Fax Number :
Provider Business Practice Location Address
First Line : 179 STATION PL
Second Line :
City : HURRICANE
State : WV
Zip : 25526-6578
Country : US
Telephone Number : 304-760-6300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/17/2022
Last Update Date : 04/16/2026

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Directions to “ MASON DAVID PRICKETT DPT” Practice Location

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