JONATHAN LOUIS BAGGETT

RIDGELAND, MS
NPI1770789208
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: MS  PTA4234)
Enumeration Date2007-06-22
Last Update Date2007-07-08
Business Address
Mr. JONATHAN LOUIS BAGGETT PTA
711 AVIGNON DR
RIDGELAND, MS 39157-5120
Phone number: 601-605-6777
Mailing Address
Mr. JONATHAN LOUIS BAGGETT PTA
2190 ROCKY BRANCH RD
SUMRALL, MS 39482-3666
Phone number: 985-294-3756