SearchSouth DakotaPhysical Therapy Assistant

William Bacon, PTA

NPI 1902168669 · on the registry since 2012 · sole proprietor

Practice

Address
902 E 12th Ave
Webster, SD 57274
Phone
(956) 451-1907

Registry record

Primary taxonomy
Physical Therapy Assistant
225200000X
Also registered as
Contractor
Licence states on file
TX, NY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-07-15

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 South Dakota