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

Jared Bashaw

Individual provider Athletic Trainer · NPI 1003586132

Jared Bashaw is an Athletic Trainer in Kansas City, Kansas. Practices as a sole proprietor. Licensed in Kansas.

Licensed in
KS
In the registry since
2021

Practice location Address checks out

1800 Village West Pkwy
Kansas City, KS 66111-1825
Phone: (913) 328-5618
Show map & directions

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

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 24-01213 (KS)

Record details

NPI number1003586132
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 20, 2021
Last updated in NPPESSeptember 20, 2021
Certification dateSeptember 20, 2021
Mailing address13320 Hauser St Apt 3303, Overland Park, KS 66213-2477

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