Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JENNIFER SUZANNE BACON, PTA
Active Sole ProprietorJENNIFER SUZANNE BACON, PTA is a Occupational Therapist healthcare provider located in FORT COLLINS, Colorado. NPI 1417693094 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · FORT COLLINS, CO
Registration Details
- NPI Number
- 1417693094
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 7, 2022 (4.2333277003844 yrs)
- Last Updated
- May 7, 2022
- License
-
PTA.0012574 (CO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1020 PATTON STFORT COLLINS, CO, 805244018Browse CO providers · Browse ZIP 80524
- Phone
- 9704847981
- Primary Specialty
-
Occupational Therapist
225200000X
Other Occupational Therapist Providers in FORT COLLINS, CO
| Name | Credential | NPI |
|---|---|---|
| EMILY MCCOY | — | 1144330739 |
| SHARYL SULLIVAN | PTA | 1942463369 |
| MR. JOHN PHILIP LESKO | PTA | 1154578482 |
| CHRISTINE ANN FORSETH | — | 1215245998 |
| STACEY EDWARDS | PTA | 1174867295 |
| MARTHA ANN HEABERLIN | P.T.A. | 1104161041 |
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.