SearchIllinois2255A2300X

Mason Cotterel, MAT, ATC

NPI 1467108654 · on the registry since 2022 · sole proprietor

Practice

Address
Southern Illinois University Edwardsville Vc 2201
Edwardsville, IL 62026
Phone
(408) 477-0953
Fax
(618) 650-5880

Additional practice sites

  • 2754 Pitkin Ct, San Jose, CA
  • 6800 Wydown Blvd, Saint Louis, MO

Registry record

Primary taxonomy
2255A2300X
2255A2300X
Also registered as
390200000X
Sex
Male
Record last updated
2022-11-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois