Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. MARISSA BACON, PT, DPT
ActiveMS. MARISSA BACON, PT, DPT is a Physical Therapy Assistant healthcare provider located in KENOSHA, Wisconsin. NPI 1073068722 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · KENOSHA, WI
Registration Details
- NPI Number
- 1073068722
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 23, 2016 (9.7863460818181 yrs)
- Last Updated
- Nov 19, 2021
- License
-
13544-24 (WI)
Practice Information
- Address
-
10400 75TH STKENOSHA, WI, 531427884Browse WI providers · Browse ZIP 53142
- Phone
- 2629483600
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in KENOSHA, WI
| Name | Credential | NPI |
|---|---|---|
| MR. WILLIAM H. LETSOM | PT | 1356330609 |
| MRS. ALICE M. SCHWALBE | P.T. | 1538150297 |
| CARMELO D TENUTA | PT | 1144267550 |
| LARRY D BRIAND | MS, PT, ATC | 1275573198 |
| MARISA J. TROTTIER | — | 1578506192 |
| JEROME NOVAK | PT | 1861424202 |
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.