Individual
KRISTA NICOLE BASSETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, LAT, ATC
Contact information
Practice address
1001 E PRIMROSE ST, SPRINGFIELD, MO 65807-5155
(000) 000-0000
Mailing address
PO BOX 505673, SAINT LOUIS, MO 63150-5673
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
2021024162
MO
363A00000X
Physician Assistant
Primary
—
MO
Other
Enumeration date
02/07/2019
Last updated
04/18/2025
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