Healthcare Provider Details

I. General information

NPI: 1831656727
Provider Name (Legal Business Name): AISELYN MASON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/27/2019
Last Update Date: 02/19/2026
Certification Date: 02/19/2026
Deactivation Date: 01/05/2026
Reactivation Date: 02/18/2026

III. Provider practice location address

18 CHESTNUT ST
WORCESTER MA
01608-1556
US

IV. Provider business mailing address

22 HILLDALE AVE
MIDDLETON MA
01949-2422
US

V. Phone/Fax

Practice location:
  • Phone: 734-748-4468
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number27958
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: