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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SOFIA BACON, P.T.

Active

SOFIA BACON, P.T. is a Physical Therapy Assistant healthcare provider located in OVERLAND PARK, Kansas. NPI 1073057063 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · OVERLAND PARK, KS

Registration Details

NPI Number
1073057063
Provider Type
Individual
Gender
Female
NPI Issued
Dec 9, 2016 (9.6434784181605 yrs)
Last Updated
Dec 9, 2016
License
11-05528 (KS)

Practice Information

Address
10600 MASTIN ST
OVERLAND PARK, KS, 662125723
Browse KS providers · Browse ZIP 66212
Phone
9136810606
Fax
9133381311
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in OVERLAND PARK, KS

Name Credential NPI
KELLY M EHRNMAN RPT 1932191764
JOSEPH J VOGELSBERG M.S.P.T. 1316934631
TERESA S ROSE R.P.T. 1023005345
MITCHELL D BARBER M.S.P.T. 1750378071
LISSA F WINDHORST R.P.T. 1124015441
ALICE J SCHAFERSMAN R.P.T. 1477540797
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.