Individual
ASHEAN BACON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
201 S RIVER ST APT 314, HOT SPRINGS, SD 57747-2328
(217) 979-5135
Mailing address
201 S RIVER ST APT 314, HOT SPRINGS, SD 57747-2328
(217) 979-5135
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2034
SD
Other
Enumeration date
08/21/2023
Last updated
08/25/2023
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