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NPI Profile for MICHAEL R BASS in AUSTIN, TX.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Professional |
101YP2500X | |||
Mechanotherapist |
172M00000X |
| NPI Number | 1952664559 |
|
| Status | Active | |
| Credentials | LPC, LMT | |
| Entity | Individual | |
| Enumeration date | 06/19/2012 | |
| Last updated | 06/19/2012 - About 14 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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MICHAEL R BASS
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MICHAEL R BASS, LPC, LMT