National Provider Identifier
Jaclyn Marie Mascho, PT
Jaclyn Marie Mascho, PT is listed in the NPPES registry with a primary specialty of Physical Therapist in Horseheads, NY and a listed phone number of (607) 739-9312.
Profile Overview
- NPI
- 1952480741
- Provider Type
- Individual
- Primary Specialty
- Physical Therapist
- Enumeration Date
- November 03, 2006
- Last Updated
- July 09, 2007
Practice Location
- 2753 Johnson RD
- Horseheads, NY 14845-9500
Phone: (607) 739-9312
Specialties
- Physical Therapist (225100000X)
Full Record
- NPI
- 1952480741
- Entity Type
- Individual
- Last Name
- Mascho
- First Name
- Jaclyn
- Middle Name
- Marie
- Name Prefix
- MS.
- Credential
- PT
- Mailing Street Address
- 2753 Johnson RD
- Mailing City
- Horseheads
- Mailing State
- NY
- Mailing ZIP Code
- 14845-9500
- Mailing Country
- US
- Mailing Phone
- (607) 739-9312
- Mailing Fax
- (607) 739-9312
- Practice Street Address
- 2753 Johnson RD
- Practice City
- Horseheads
- Practice State
- NY
- Practice ZIP Code
- 14845-9500
- Practice Country
- US
- Practice Phone
- (607) 739-9312
- Practice Fax
- (607) 739-9312
- Enumeration Date
- November 03, 2006
- Last Updated
- July 09, 2007
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Therapist (225100000X)