NPI 1093955452

Larry Douglas Bagent, LMT

Practitioner Mechanotherapist Hilliard, OH

Practice location

Address: 5136 Bonner Dr, Hilliard, OH 43026-8933
Phone: (614) 313-3437

Registered specialties

Mechanotherapist Primary

Other Service Providers Taxonomy 172M00000X Licence 16050 (OH)

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Registry record

NPI: 1093955452
Entity type: Individual
Sex (as registered): Male
NPI issued: 25 Feb 2009
Record last updated: 25 Feb 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.