person
Douglas K Bagley, PT
Hand Physical Therapist in Provo, Utah
NPI 1538155411

Douglas K Bagley is a Hand Physical Therapist based in Provo, UT and is specialized in Hand. Douglas K Bagley practices in Provo, UT and has the professional credentials of PT. The NPI Number for Douglas K Bagley is 1538155411 and holds a License No. 121795-2401 (Utah).

The current practice location address for Douglas K Bagley is 1055 N 500 W, Provo, UT and can be reached out via phone at 801-375-4263 and via fax at 801-429-8085.

Location: 1055 N 500 W, Provo, UT, 84604-3305
person
Provider Profile Details
NPI Number
1538155411
Provider Name
Douglas K Bagley
Credential
PT
Provider Entity Type
Individual
Gender
Male
Address
1055 N 500 W, Provo, UT, 84604-3305
Phone Number
801-375-4263
Fax Number
801-429-8085
Provider Enumeration Date
09/26/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
77717 01 UT PEHP
6400377 01 UT UNITED HEALTHCARE
0224632005 01 UT CIGNA
institution
Provider Business Practice Location Address Details
Address
1055 N 500 W
City
State
Zip
84604-3305
Phone Number
801-375-4263
Fax Number
801-429-8085
person
Provider Business Mailing Address Details
Address
1055 N 500 W
City
State
Zip
84604-3305
Phone Number
801-375-4263
Fax Number
801-429-8085
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Physical Therapist
Speciality
Hand
Taxonomy
License No.
121795-2401 (Utah)
Definition
Definition to come...
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