Michael Bacon, PT

NPI #1851832885 in Wickenburg, Arizona

Provider Information

NPI Number: 1851832885
Entity Type: Individual
Name: Michael Bacon, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Mar 9, 2017
Last Updated: Mar 9, 2017

Practice Location

Address: 520 ROSE LN
City: Wickenburg
State: Arizona
ZIP Code: 85390-1447
Phone: (928) 684-5529

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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