IndividualActive
Brian Maskew
NPI 1699873893 · Athletic Trainer · Hattiesburg, MS
Provider details
- NPI number
- 1699873893
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- AT0378 (MS)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
4124 W 4th St Apt 1606
Hattiesburg, MS 39401-5710
Phone: (601) 264-2114
Approximate (ZIP-level) locationGet directions
Mailing address
4124 W 4th St Apt 1606
Hattiesburg, MS 39401-5710
Registry dates
- Enumerated
- 2006-09-20
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.