Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Emma Kimberlee Bacon

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1083418289

Emma Kimberlee Bacon is a Student in an Organized Health Care Education/Training Program in Yelm, Washington. Practices as a sole proprietor. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
2

Practice location Address checks out

14526 Lindsay Loop SE
Yelm, WA 98597-8598
Phone: (360) 870-9160
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1083418289
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 4, 2025
Last updated in NPPESApril 4, 2025
Certification dateApril 4, 2025
Mailing address14526 Lindsay Loop Se, Yelm, WA 98597-8598

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