Brian Bass, ATC
Specialist/Technologist, Athletic Trainer in Cincinnati, OH. Individual provider (NPI-1).
NPI number1245389691
StatusActive
Last updated in NPPESJul 12, 2010
Details
- NPI
- 1245389691
- Entity type
- Individual (NPI-1)
- Name
- Mr. Brian Bass
- Credential
- ATC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 8, 2007
- Last updated
- Jul 12, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | AT001755 | OH | Yes |
Practice location
6350 Glenway AveSuite 401
Cincinnati, OH 45211-6378
Phone 513-618-2097 · Fax 513-619-9244
Mailing address
4701 Creek RdSuite 110
Cincinnati, OH 45242-8398
Phone 513-733-9333 · Fax 513-588-2479
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