NPI 1215110812

Suella K Baggett, BSPT

Practitioner Specialist Broken Arrow, OK

Practice location

Address: 2208 N Yellowood Ave, Broken Arrow, OK 74012-9102
Phone: (918) 286-1261
Fax: (918) 286-1265
Mailing address: 1317 Country Club Rd, McAlester, OK 74501-7236

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 444 (OK)

Other Specialist providers in Oklahoma →

Registry record

NPI: 1215110812
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 Dec 2007
Record last updated: 6 Dec 2007

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.