Cole Timothy Bassett
Specialist/Technologist, Athletic Trainer in Springfield, MO. Individual provider (NPI-1).
NPI number1982169512
StatusActive
Last updated in NPPESFeb 7, 2019
Details
- NPI
- 1982169512
- Entity type
- Individual (NPI-1)
- Name
- Mr. Cole Timothy Bassett
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 7, 2019
- Last updated
- Feb 7, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | – | – | Yes |
Practice location
901 S National Ave # Prof160Springfield, MO 65897-0001
Phone 417-836-8553 · Fax 417-836-8554
Mailing address
203 N Bluebird LnNixa, MO 65714-8461
Phone 417-522-6361
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