Mr. Timothy James Bass, ATC, LAT, CES
Mr. Timothy James Bass, ATC, LAT, CES is an Athletic Trainer in Provo, Utah. Licensed in Tennessee and Utah. Registered with an NPI since 2017.
- Licensed in
- TN, UT
- In the registry since
- 2017
- Specialties on file
- 2
What do these letters mean?
Practice location Address checks out
1143 SfhProvo, UT 84602-2246
Phone: (801) 422-0974
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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 6123836-4810 (UT) |
|---|---|
| Athletic Trainer | Taxonomy 2255A2300X · Licence 1560 (TN) |
Record details
| NPI number | 1609389311 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | ATC , LAT , CES |
| Sole proprietor | No |
| NPI enumerated | November 16, 2017 |
| Last updated in NPPES | June 3, 2022 |
| Certification date | June 3, 2022 |
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