Individual
MICHAEL BRYCE BAGBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT, PT
Contact information
Practice address
210 VILLAGE CENTER BLVD STE 200, MYRTLE BEACH, SC 29579-6706
(843) 353-3460
(843) 353-3461
Mailing address
825 GROSSE POINTE CT, GROSSE POINTE, MI 48230-1278
(313) 605-9366
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
13300
SC
225100000X
Physical Therapist
5501303772
MI
225100000X
Physical Therapist
PT2584
WY
225100000X
Physical Therapist
PT61655964
WA
Other
Enumeration date
01/27/2025
Last updated
03/17/2026
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