YARDELL TAVARIUS BASS - NPI 1124408786 - Rehabilitation Practitioner in Las Vegas, NV

Q: What is Yardell Bass's NPI number?

The NPI number for Yardell Bass is 1124408786. It was assigned to this individual provider in the NPPES registry on June 8, 2015.

Q: What is Yardell Bass's specialty?

The primary specialty registered for this NPI is Rehabilitation Practitioner with taxonomy code 225400000X.

Q: When was this NPI record last updated?

The NPPES record for Yardell Bass was last updated on June 8, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Yardell Tavarius Bass NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

YARDELL TAVARIUS BASS (NPI 1124408786) is an individual rehabilitation practitioner in Las Vegas, Nevada and active in the NPI registry since June 2015.

NPPES Registry Identity

NPI1124408786

Entity TypeIndividualMale

Primary Taxonomy225400000X

Provider Legal NameYARDELL TAVARIUS BASS

Location Address2020 W BONANZA RDLas Vegas, NV 89106-4710

Mailing Address4042 Meadowglen AveLas Vegas, NV 89121-6344 · (702) 287-8459

Phone(702) 749-6332

Sole ProprietorYes

Enumeration DateJune 8, 2015

✔ NPI 1124408786 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code225400000X

Definition

A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

2020 W BONANZA RD, Las Vegas, NV 89106

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Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMELIA CAHEE

Case Manager/Care Coordinator