SearchMissouriPhysical Therapist

Ian Bacolod, P.T

NPI 1093066532 · on the registry since 2012 · sole proprietor

Practice

Address
139 N Capistrano Dr
Jefferson City, MO 65109
Phone
(573) 893-6706

Registry record

Primary taxonomy
Physical Therapist
225100000X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2012-09-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri