Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Elijah Mason

Individual provider Athletic Trainer · NPI 1629730072

Elijah Mason is an Athletic Trainer in Saint Paul, Minnesota. Licensed in Minnesota. Registered with an NPI since 2021.

Licensed in
MN
In the registry since
2021
Specialties on file
4
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Practice location Address checks out

3900 Bethel Dr
Saint Paul, MN 55112-6902
Phone: (651) 638-6400
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Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (MN)
Athletic Trainer Taxonomy 2255A2300X (MN)
Athletic Trainer Taxonomy 2255A2300X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1629730072
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 12, 2021
Last updated in NPPESOctober 12, 2021
Certification dateOctober 12, 2021
Mailing address1330 High Site Dr Apt 218, Eagan, MN 55121-2737

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