Michael Robert Ballasch, AT
Michael Robert Ballasch, AT is an Athletic Trainer in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2017.
- Licensed in
- AZ
- In the registry since
- 2017
Practice location Address checks out
1202 W Thomas RdPhoenix, AZ 85013-4208
Phone: (602) 285-7239
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Athletic Trainer (primary) | Taxonomy 2255A2300X · Licence 1644 (AZ) |
|---|
Record details
| NPI number | 1811401169 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | AT |
| Sole proprietor | No |
| NPI enumerated | November 24, 2017 |
| Last updated in NPPES | November 24, 2017 |
| Mailing address | 1202 W Thomas Rd, Phoenix, AZ 85013-4208 |
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