William John Bacon, PTA
William John Bacon, PTA is a Contractor in Webster, South Dakota. Practices as a sole proprietor. Licensed in New York and Texas.
- Licensed in
- NY, TX
- In the registry since
- 2012
- Specialties on file
- 2
What do these letters mean?
- PTA — Physical Therapist Assistant
- Delivers treatment under a physical therapist's direction.
Practice location Address checks out
902 E 12th AveWebster, SD 57274-2300
Phone: (956) 451-1907
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapy Assistant (primary) | Taxonomy 225200000X · Licence 008793 (NY) |
|---|---|
| Contractor | Taxonomy 171W00000X · Licence 2061050 (TX) |
Record details
| NPI number | 1902168669 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PTA |
| Sole proprietor | Yes |
| NPI enumerated | June 8, 2012 |
| Last updated in NPPES | July 15, 2020 |
| Certification date | July 15, 2020 |
| Mailing address | 902 E. 12th Ave, Webster, SD 57274 |