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NPI Code Detail

MEDICARE: JOSEPH HAGUE

MEDICARE: JOSEPH HAGUE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist2025040250MO

General Provider Information

NPI Number : 1972475143
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSEPH HAGUE
Provider Business Mailing Address
First Line : 1200 CORPORATE DR STE 400
Second Line :
City : HOOVER
State : AL
Zip : 35242-5424
Country : US
Telephone Number : 423-238-7217
Fax Number :
Provider Business Practice Location Address
First Line : 908 BALTIMORE AVE STE 101
Second Line :
City : KANSAS CITY
State : MO
Zip : 64105-1707
Country : US
Telephone Number : 816-283-8343
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/18/2025
Last Update Date : 09/18/2025

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Directions to “ JOSEPH HAGUE ” Practice Location

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