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

Mason Robert Wise

Individual provider Athletic Trainer · NPI 1407584634

Mason Robert Wise is an Athletic Trainer in Columbus, Ohio. Practices as a sole proprietor. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

453 W 10th Ave
Columbus, OH 43210-2205
Phone: (614) 292-6446
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X

Record details

NPI number1407584634
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 15, 2022
Last updated in NPPESAugust 15, 2022
Certification dateAugust 15, 2022
Mailing address7759 Derbyshire Ct, Liberty Township, OH 45044-9028

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