IndividualActive
Charles Bacon, DPT
NPI 1417203233 · Physical Therapist · Augusta, KS
Provider details
- NPI number
- 1417203233
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- DPT
- Sex
- Male
- Sole proprietor
- No
- License
- 11-04429 (KS)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1503 Washington Ln
Augusta, KS 67010-1638
Phone: (316) 775-0700
Fax: (316) 775-9007
Approximate (ZIP-level) locationGet directions
Mailing address
1503 Washington Ln
Augusta, KS 67010-1638
Registry dates
- Enumerated
- 2012-07-30
- Last updated
- 2012-07-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.