| Keith Deagostine, | |
|
3072 W 300 N, Suite A, West Point, UT 84015-3933 | |
| (914) 623-8375 | |
| Not Available |
| Full Name | Keith Deagostine |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 3072 W 300 N, West Point, Utah |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649508755 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 345428-2401 (Utah) | Primary |
| 261QP2000X | Clinic/center - Physical Therapy | 345428-2401 (Utah) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Keith Deagostine, 3072 W 300 N, Suite A, West Point, UT 84015-3933 Ph: (914) 623-8375 | Keith Deagostine, 3072 W 300 N, Suite A, West Point, UT 84015-3933 Ph: (914) 623-8375 |
Zachary Kernan, Physical Therapist Medicare: Medicare Enrolled Practice Location: 3072 W 300 N, Suite A, West Point, UT 84015 Phone: 801-825-7500 Fax: 801-825-7511 | |
Megan Miyawaki, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3024 W 300 N Ste B, West Point, UT 84015 Phone: 801-825-7500 | |
Steven Hadley, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3024 W 300 N Ste B, West Point, UT 84015 Phone: 801-825-7500 | |
Kyle Allen Shegrud, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3024 W 300 N, West Point, UT 84015 Phone: 801-825-7500 |