Individual
MR. ROBERT MICHAEL BACCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
5533 W HILLSDALE AVE, SUITE A, VISALIA, CA 93291-5138
(559) 733-2478
(559) 733-2470
Mailing address
PO BOX 7779, VISALIA, CA 93290-7779
(559) 733-2478
(559) 733-2470
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT6969
CA
2251E1200X
Ergonomics Physical Therapist
Primary
PT6969
CA
2251G0304X
Geriatric Physical Therapist
PT6969
CA
2251H1200X
Hand Physical Therapist
PT6969
CA
2251N0400X
Neurology Physical Therapist
PT6969
CA
2251P0200X
Pediatric Physical Therapist
PT6969
CA
2251S0007X
Sports Physical Therapist
PT6969
CA
2251X0800X
Orthopedic Physical Therapist
PT6969
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00PT69690
BLUE SHIELD
CA
05
—
00PT69690
—
CA
Enumeration date
07/18/2006
Last updated
04/04/2023
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