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NPI Profile for DOUGLAS K BAGLEY in PROVO, UT.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Hand |
2251H1200X | 65 | Physical Therapist in Private Practice |
| NPI Number | 1538155411 |
|
| Status | Active | |
| Credentials | PT (Physical Therapist) | |
| Entity | Individual | |
| Enumeration date | 09/26/2005 | |
| Last updated | 11/27/2023 - About 3 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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DOUGLAS K BAGLEY
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DOUGLAS K BAGLEY, PT