Deagostine, Keith

Deagostine, Keith is an sole proprietor health care provider with primary practice located at 3072 W 300 N Suite A, West Point UT 84015-3933. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Ambulatory Health Care Facilities / Physical Therapy. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is his primary health care specialty. Deagostine, Keith can be contacted via phone (914) 623-8375.

Contact Information

Primary practice address
3072 W 300 N Suite A West Point UT 84015-3933
Phone: (914) 623-8375
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 345428-2401 Utah
Ambulatory Health Care Facilities / Physical Therapy 261QP2000X 345428-2401 Utah

Profile Details

NPI number 1649508755
LBN Legal business name Deagostine, Keith
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 1st, 2009
Last updated Sep 12th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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