Organization
BARE ESSENTIALS SPORTS MEDICINE COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PATRICIA K BARE GROUNDS ATC/L, LAT (OWNER & MEDICAL COORDINATOR)
(850) 582-2067
Entity
Organization
Contact information
Practice address
171 TRADITION TRL, SUITE 207, HOLLY SPRINGS, NC 27540-7045
(850) 582-2067
Mailing address
445 TEXANNA WAY, HOLLY SPRINGS, NC 27540-7351
(850) 582-2067
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
0506267
NV
2255A2300X
Athletic Trainer
1443
SC
2255A2300X
Athletic Trainer
AL678
FL
2255A2300X
Athletic Trainer
AT.0001047
CO
2255A2300X
Athletic Trainer
Primary
LAT-2444
NC
2255A2300X
Athletic Trainer
RT004435
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0506267
NEVADA ATHLETIC TRAINER'S LICENSE
NV
01
—
1047
COLORADO STATE ATHLETIC TRAINER'S LICENSE
CO
01
—
1443
SOUTH CAROLINA ATHLETIC TRAINER'S LICENSE
SC
01
—
AL678
FLORIDA ATHLETIC TRAINER'S LICENSE
FL
01
—
LAT-2444
NORTH CAROLINA BOARD OF ATHLETIC TRAINER EXAMINERS
NC
01
—
RT004435
PENNSYLVANIA ATHLETIC TRAINER'S LICENSE
PA
Enumeration date
02/07/2006
Last updated
01/13/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us