Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
IAN JAMES BACOLOD, P.T.
Active Sole ProprietorIAN JAMES BACOLOD, P.T. is a Physical Therapy Assistant healthcare provider located in JEFFERSON CITY, Missouri. NPI 1093066532 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · JEFFERSON CITY, MO
Registration Details
- NPI Number
- 1093066532
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 24, 2012 (13.878708943357 yrs)
- Last Updated
- Sep 24, 2012
- License
-
100687 (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
139 N CAPISTRANO DRJEFFERSON CITY, MO, 651096179Browse MO providers · Browse ZIP 65109
- Phone
- 5738936706
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in JEFFERSON CITY, MO
| Name | Credential | NPI |
|---|---|---|
| MRS. MICHELLE MARIE SHERRY | PT | 1780795690 |
| JOHN KESLER | PT | 1710070784 |
| MR. BRIAN A HILL | P.T. | 1053493692 |
| JAMES HEETER | — | 1578642633 |
| MICHELE PADEN | PT | 1104995083 |
| MRS. SUSAN DAWN GROOSE | PT | 1679625826 |
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.