Individual provider · Type 1 NPI

Willard Cole Waggoner, PT, DPT, CSCS

Physical Therapist · Frederick, MD

NPI number 1295645505 Active

Practice location

7311 Grove Rd Ste H
Frederick, MD 21704-3300

Call (240) 608-6031 Map

Mailing address

6700B Overton Cir Apt 21
Frederick, MD 21703-7047

Specialties and licenses

TaxonomyCodeLicense
Physical Therapist Primary 225100000X30981 (MD)

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 1295645505

Willard Cole Waggoner, PT, DPT, CSCS's National Provider Identifier is 1295645505, issued on Sep 9, 2026. The primary taxonomy on file is Physical Therapist (225100000X), and the practice location is in Frederick, MD. The record was last updated on Sep 9, 2026.