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Individual
KATHERINE LOUISE BACON
Active
Individual
KATHERINE LOUISE BACON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT.PT.70154826
WA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/15/2026
Last updated
08/23/2026
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