Most Relevant Information
Provider Data
| NPI Number: | 1003463555 |
| Provider Name: | MASON MCANNALLY DPT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | PTH9547 |
Most Important Dates
| Enumeration Date: | 08/20/2019 |
| Last Updated: | 10/18/2021 |
Provider Practice Location
183 MAIN ST STE D
TRUSSVILLE
AL
351731496
Practice Location Phone/Fax
| Phone: | 2056551009 |
| Fax: | 2056551264 |
Provider Mailing Location
4 OFFICE PARK CIR STE 217
MOUNTAIN BRK
AL
352232674
Provider Mailing Phone/Fax
| Phone: | 2052632770 |
| Fax: | 2052630994 |