Individual
MICHAEL BAGWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
5066 PINNACLE SQ STE 110, BIRMINGHAM, AL 35235-3186
(205) 508-2801
(205) 508-2802
Mailing address
800 CRESCENT CENTRE DR STE 300, FRANKLIN, TN 37067-7285
(615) 373-1350
(615) 221-9054
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH8114
AL
Other
Enumeration date
06/05/2013
Last updated
09/30/2019
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