Individual provider · Type 1 NPI
Tessa Waggoner, PT
Specialist · Thousand Oaks, CA
NPI number
1003033846
Active
Practice location
77 Rolling Oaks Dr Ste 100
Thousand Oaks, CA 91361-1017
Fax (805) 364-4947
Mailing address
659 Pedro St
Camarillo, CA 93010-7739
Other practice locations
- 659 Pedro St, Camarillo, CA 93010-7739 · (805) 285-3562
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 24735 (CA) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1003033846
Tessa Waggoner, PT's National Provider Identifier is 1003033846, issued on Apr 20, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Thousand Oaks, CA. The record was last updated on Oct 15, 2025.