Individual provider · Type 1 NPI

William Wallace Waggoner, PT

Physical Therapist · West Lafayette, IN

NPI number 1255368049 Active

Practice location

500 Sagamore Pkwy W Ste 2W
West Lafayette, IN 47906-1459

Mailing address

33900 Harper Ave Ste 104
Clinton Township, MI 48035-4258

Specialties and licenses

TaxonomyCodeLicense
Physical Therapist Primary 225100000X05006050A (IN)

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 1255368049

William Wallace Waggoner, PT's National Provider Identifier is 1255368049, issued on Jun 27, 2006. The primary taxonomy on file is Physical Therapist (225100000X), and the practice location is in West Lafayette, IN. The record was last updated on Jul 24, 2026.