Individual
JARED BASHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1800 VILLAGE WEST PKWY, KANSAS CITY, KS 66111-1825
(913) 328-5618
Mailing address
13320 HAUSER ST APT 3303, OVERLAND PARK, KS 66213-2477
(620) 218-2855
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
24-01213
KS
Other
Enumeration date
09/20/2021
Last updated
09/20/2021
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