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Timothy Bass, ATC, LAT, CES
NPI 1609389311 · on the registry since 2017
Practice
- Address
- 1143 Sfh
Provo, UT 84602 - Phone
- (801) 422-0974
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Also registered as
- 2255A2300X
- Licence states on file
- TN, UT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-06-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah