Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. TRACY LEE WAGGONER, MPT
ActiveMRS. TRACY LEE WAGGONER, MPT is a Physical Therapy Assistant healthcare provider located in HUTSONVILLE, Illinois. NPI 1487856548 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · HUTSONVILLE, IL
Registration Details
- NPI Number
- 1487856548
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 1, 2007 (19.185773631612 yrs)
- Last Updated
- Jul 8, 2007
Practice Information
- Address
-
609 N PLEASANT STHUTSONVILLE, IL, 624331119Browse IL providers · Browse ZIP 62433
- Phone
- 6185639395
- Primary Specialty
-
Physical Therapy Assistant
225100000X
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.