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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. WILLIAM WALLACE WAGGONER, PT

Active

MR. WILLIAM WALLACE WAGGONER, PT is a Physical Therapy Assistant healthcare provider located in WEST LAFAYETTE, Indiana. NPI 1255368049 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · WEST LAFAYETTE, IN

Registration Details

NPI Number
1255368049
Provider Type
Individual
Gender
Male
NPI Issued
Jun 27, 2006 (20.091813122406 yrs)
Last Updated
Feb 5, 2025
License
05006050A (IN)

Practice Information

Address
500 SAGAMORE PKWY W STE 2W
WEST LAFAYETTE, IN, 479061459
Browse IN providers · Browse ZIP 47906
Phone
7652509660
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in WEST LAFAYETTE, IN

Name Credential NPI
JEFFERY LEE STEIN ATC, DPT 1457327207
MRS. MITSUE ALICE WILCOXSON ATC, PT 1649215450
KARA MICHELLE KESSANS PT, DPT, ATC, CSCS 1235140948
JOHN D EDWARDS PT 1235219015
MS. CHERYL L COHEN MSPT 1194854299
DR. SHELDON CHARLES MCCULLUM D.P.T. 1336364785
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.