MICHAEL BRENT BAGWELL

HILL AFB, UT
NPI1891363677
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: ID  PT-7198)
Additional Taxonomies225100000X Physical Therapist
(Licence: OR  64152)
Enumeration Date2021-06-16
Last Update Date2025-08-25
Business Address
MICHAEL BRENT BAGWELL DPT
7321 BALMER ST BLDG 570
HILL AFB, UT 84056-5012
Phone number: 801-777-5400
Mailing Address
MICHAEL BRENT BAGWELL DPT
7321 BALMER ST BLDG 570
HILL AFB, UT 84056-5012
Phone number: 770-530-0082