Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. TIM M BANE, ATC
Active Sole ProprietorMR. TIM M BANE, ATC is a Athletic Trainer healthcare provider located in GRUNDY, Virginia. NPI 1487302592 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · GRUNDY, VA
Registration Details
- NPI Number
- 1487302592
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 17, 2022 (4.3744453704337 yrs)
- Last Updated
- Mar 17, 2022
- License
-
0126000341 (VA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1092 WINTER WREN STGRUNDY, VA, 246145770Browse VA providers · Browse ZIP 24614
- Phone
- 5406329184
- Primary Specialty
-
Athletic Trainer
2255A2300X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.