NPI 1003586132

Jared Bashaw

Practitioner Athletic Trainer Kansas City, KS

Practice location

Address: 1800 Village West Pkwy, Kansas City, KS 66111-1825
Phone: (913) 328-5618
Mailing address: 13320 Hauser St APT 3303, Overland Park, KS 66213-2477

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 24-01213 (KS)

Other Specialist/Technologist providers in Kansas →

Registry record

NPI: 1003586132
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Sep 2021
Record last updated: 20 Sep 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.