Michael Brent Bagwell, DPT
Physical Therapist in Hill Afb, UT. Individual provider (NPI-1).
NPI number1891363677
StatusActive
Last updated in NPPESAug 25, 2025
Details
- NPI
- 1891363677
- Entity type
- Individual (NPI-1)
- Name
- Michael Brent Bagwell
- Credential
- DPT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 16, 2021
- Certification date
- Aug 25, 2025
- Last updated
- Aug 25, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | PT-7198 | ID | Yes |
| 225100000X | Physical Therapist | 64152 | OR |
Practice location
7321 Balmer St Bldg 570Hill Afb, UT 84056-5012
Phone 801-777-5400
Mailing address
7321 Balmer St Bldg 570Hill Afb, UT 84056-5012
Phone 770-530-0082
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All 9 Physical Therapist providers in Hill Afb · All 140 providers in Hill Afb
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