Individual
RANDY BASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10133 SHERRILL BLVD STE 200, KNOXVILLE, TN 37932-3347
(888) 531-2204
Mailing address
10133 SHERRILL BLVD STE 200, KNOXVILLE, TN 37932-3347
Taxonomy
Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
Primary
115273
TX
Other
Enumeration date
04/28/2023
Last updated
04/28/2023
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