Avrie Bassingthwaite

Individual provider Active NPI Athletic Trainer · Storrs, CT

NPI 1295515161 · NPPES record last updated May 15, 2024

Key facts

NPI
1295515161
Entity type
Individual (NPI type 1)
Primary specialty
Athletic Trainer 2255A2300X
Practice address
2095 Hillside Rd
Storrs, CT 06269-2601
Phone
(860) 486-5322
NPI assigned
Sep 29, 2023
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Athletic Trainer 2255A2300X Yes

Addresses

Primary practice location

2095 Hillside Rd
Storrs, CT 06269-2601

Mailing address

2095 Hillside Rd
Storrs, CT 06269-1110
Phone (860) 486-5322

Other providers in Storrs, CT

All providers in Storrs, CT · Athletic Trainer in Connecticut

Sources for this page

Verify at the official NPI Registry.