Individual
MR. BRIAN BASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
6350 GLENWAY AVE, SUITE 401, CINCINNATI, OH 45211-6378
(513) 618-2097
(513) 619-9244
Mailing address
4701 CREEK RD, SUITE 110, CINCINNATI, OH 45242-8398
(513) 733-9333
(513) 588-2479
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT001755
OH
Other
Enumeration date
01/08/2007
Last updated
07/12/2010
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