MR. William Wallace Waggoner, PT
NPI #1255368049 in West Lafayette, Indiana
Provider Information
- NPI Number
- 1255368049
- Entity Type
- Individual
- Name
- MR. William Wallace Waggoner, PT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapist
- Credential
- PT
- Enumeration Date
- Jun 27, 2006
- Last Updated
- Feb 5, 2025
Practice Location
- Address
- 500 SAGAMORE PKWY W STE 2W
- City
- West Lafayette
- State
- Indiana
- ZIP Code
- 47906-1459
- Phone
- (765) 250-9660
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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