Individual provider · Type 1 NPI

Stephen James Waggoner, PT

Physical Therapist · Winston Salem, NC

NPI number 1043895261 Active

Practice location

190 Kimel Park Dr Ste 139
Winston Salem, NC 27103-6946

Fax (336) 718-3389

Mailing address

PO Box 601791
Charlotte, NC 28260-1791

Specialties and licenses

TaxonomyCodeLicense
Physical Therapist Primary 225100000XP15783 (NC)

Physical Therapist: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, r…

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About NPI 1043895261

Stephen James Waggoner, PT's National Provider Identifier is 1043895261, issued on Mar 10, 2021. The primary taxonomy on file is Physical Therapist (225100000X), and the practice location is in Winston Salem, NC. The record was last updated on Jun 16, 2021.