Individual
BRADY SPENCER BASSETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSE, LAT
Contact information
Practice address
20303 BLUE SAGE PKWY, OMAHA, NE 68130-3721
(402) 289-0616
Mailing address
20303 BLUE SAGE PKWY, OMAHA, NE 68130-3721
(402) 289-0616
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
926
NE
Other
Enumeration date
06/01/2021
Last updated
06/01/2021
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