Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MICHAEL CHAD BAGWELL
Active Sole ProprietorMICHAEL CHAD BAGWELL is a Occupational Therapist healthcare provider located in CHARLESTON, Mississippi. NPI 1326275611 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · CHARLESTON, MS
Registration Details
- NPI Number
- 1326275611
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 15, 2009 (17.171206812945 yrs)
- Last Updated
- Jun 16, 2011
- License
-
PTA 4035 (MS)
- Sole Proprietor
- Yes
Practice Information
- Address
-
201 S MARKET STCHARLESTON, MS, 389212236Browse MS providers · Browse ZIP 38921
- Phone
- 6627607117
- Primary Specialty
-
Occupational Therapist
225200000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.