Rebecca A Bassham, BS, RT
Specialist/Technologist, Other in Lake Havasu City, AZ. Individual provider (NPI-1).
NPI number1114366358
StatusActive
Last updated in NPPESJun 20, 2013
Details
- NPI
- 1114366358
- Entity type
- Individual (NPI-1)
- Name
- Rebecca A Bassham
- Credential
- BS, RT
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 20, 2013
- Last updated
- Jun 20, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 246Z00000X | Specialist/Technologist, Other | – | – | Yes |
| 133N00000X | Nutritionist | – | – | |
| 174H00000X | Health Educator | – | – |
Practice location
2277 Swanson AveSuite B
Lake Havasu City, AZ 86403-5991
Phone 928-486-5414 · Fax 928-854-0112
Mailing address
2277 Swanson AveSuite B
Lake Havasu City, AZ 86403-5991
Phone 928-486-5414 · Fax 928-854-0112
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.