Holly K Waggoner, DPT

NPI #1295191302 in Canyon, Texas

Provider Information

NPI Number: 1295191302
Entity Type: Individual
Name: Holly K Waggoner, DPT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: DPT
Enumeration Date: Jan 5, 2016
Last Updated: Jan 5, 2016

Practice Location

Address: 907 23RD ST
City: Canyon
State: Texas
ZIP Code: 79015-4645
Phone: (806) 655-6824

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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