Terrance R Waggoner, DC

NPI #1811993009 in Shipshewana, Indiana

Provider Information

NPI Number: 1811993009
Entity Type: Individual
Name: Terrance R Waggoner, DC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Chiropractor
Credential: DC
Enumeration Date: Jun 22, 2005
Last Updated: Aug 21, 2008

Practice Location

Address: 8015 W US HIGHWAY 20
City: Shipshewana
State: Indiana
ZIP Code: 46565-9482
Phone: (260) 768-4333

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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