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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ISAIAH MAST, ATC

Active

ISAIAH MAST, ATC is a Sports Medicine (PM&R) healthcare provider located in ALLIANCE, Ohio. NPI 1205484060 is currently active in the NPPES registry. Verify at CMS.

Sports Medicine (PM&R) · ALLIANCE, OH

Registration Details

NPI Number
1205484060
Provider Type
Individual
Gender
Male
NPI Issued
Aug 26, 2019 (6.9871177082755 yrs)
Last Updated
Aug 26, 2019
License
AT005702 (OH)

Practice Information

Address
1972 CLARK AVE
ALLIANCE, OH, 446013929
Browse OH providers · Browse ZIP 44601
Phone
3308234105
Primary Specialty
Sports Medicine (PM&R)
2081S0010X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.