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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KEITH DEAGOSTINE

Active Sole Proprietor

KEITH DEAGOSTINE is a Physical Therapy Assistant healthcare provider located in WEST POINT, Utah. NPI 1649508755 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · WEST POINT, UT

Registration Details

NPI Number
1649508755
Provider Type
Individual
Gender
Male
NPI Issued
Dec 1, 2009 (16.70092275012 yrs)
Last Updated
Sep 12, 2011
Licenses
345428-2401 (UT)
345428-2401 (UT)
Sole Proprietor
Yes

Practice Information

Address
3072 W 300 N
SUITE A
WEST POINT, UT, 840153933
Browse UT providers · Browse ZIP 84015
Phone
9146238375
Primary Specialty
Physical Therapy Assistant
225100000X
Additional Specialty
Physical Therapy Clinic

Other Physical Therapy Assistant Providers in WEST POINT, UT

Name Credential NPI
ZACHARY KERNAN 1427344340
MR. DANIEL J SEDGWICK DPT, ATC 1073884771
KYLE ALLEN SHEGRUD DPT 1750921359
STEVEN HADLEY DPT 1669069753
MEGAN MIYAWAKI DPT 1588376594
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.