KEITH DEAGOSTINE

Physical Therapist

Active Individual
NPI: 1649508755

Practice Address

3072 W 300 N
SUITE A
West Point, UT 84015

Phone: (914) 623-8375

Specialties

Specialty Code Primary License
Physical Therapist 225100000X Yes 345428-2401 (UT)
Clinic/Center - Physical Therapy 261QP2000X No 345428-2401 (UT)

Frequently Asked Questions

NPI 1649508755 is the National Provider Identifier for KEITH DEAGOSTINE, a Physical Therapist provider located in West Point, UT. This NPI was enumerated on December 1, 2009.
KEITH DEAGOSTINE practices at 3072 W 300 N, SUITE A, West Point, UT 84015.

Quick Facts

NPI
1649508755
Type
Individual
Enumerated
Dec 1, 2009
Last Updated
Sep 12, 2011

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