Michael Chad Bagwell
Michael Chad Bagwell is a Physical Therapy Assistant in Charleston, Mississippi. Practices as a sole proprietor. Licensed in Mississippi.
- Licensed in
- MS
- In the registry since
- 2009
Practice location Address checks out
201 S Market StCharleston, MS 38921-2236
Phone: (662) 760-7117
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapy Assistant (primary) | Taxonomy 225200000X · Licence PTA 4035 (MS) |
|---|
Record details
| NPI number | 1326275611 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | June 15, 2009 |
| Last updated in NPPES | June 16, 2011 |
| Mailing address | 201 S Market St, Charleston, MS 38921-2236 |