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Kristin M Bacon, PT
Pediatric Physical Therapist in Anchorage, Alaska
NPI 1679618144

Kristin M Bacon is a Pediatric Physical Therapist based in Anchorage, AK and is specialized in Pediatrics. Kristin M Bacon practices in Anchorage, AK and has the professional credentials of PT. The NPI Number for Kristin M Bacon is 1679618144 and holds a License No. 1159 (Alaska).

The current practice location address for Kristin M Bacon is 12801 Jeanne Rd, Anchorage, AK and can be reached out via phone at 907-230-0402 and via fax at 907-770-5755. You can also correspond with Kristin M Bacon through the mailing address at PO BOX 112693, ANCHORAGE, AK - 99511-2693 (mailing address contact number: 907-770-5557).

Location: 12801 Jeanne Rd, Anchorage, AK, 99511-2693
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Provider Profile Details
NPI Number
1679618144
Provider Name
Kristin M Bacon
Credential
PT
Provider Entity Type
Individual
Gender
Female
Address
12801 Jeanne Rd, Anchorage, AK, 99511-2693
Phone Number
907-230-0402
Fax Number
907-770-5755
Provider Enumeration Date
02/21/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PT9331 05 AK
419964 01 AK BUSINESS LICENSE
institution
Provider Business Practice Location Address Details
Address
12801 Jeanne Rd
City
State
Zip
99516-3347
Phone Number
907-230-0402
Fax Number
907-770-5755
person
Provider Business Mailing Address Details
Address
12801 Jeanne Rd
City
State
Zip
99516-3347
Phone Number
907-230-0402
Fax Number
907-770-5755
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Physical Therapist
Speciality
Pediatrics
Taxonomy
License No.
1159 (Alaska)
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given.
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