Doctor Name: | HOLLY K WAGGONER |
NPI Number: | 1295191302 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPT |
License Number: | 1248698 |
Business Practice Address: | 907 23rd St Canyon, TX - 790154645 |
Business Phone Number: | 8066556824 |
Business Fax Number: | 8066556823 |
Mailing Address: | 907 23rd St, CANYON |
State: | TX |
Postal Code: | 790154645 |
Phone Number: | 8066556824 |
Fax Number: | 8066556823 |
NPI Enumeration Date: | 01/05/2016 |
NPI Last Update Date: | 01/05/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 1248698 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |