Individual provider · Type 1 NPI
Edsel Ligutom Jr., PT
Geriatric Physical Therapist · Waco, TX
Practice location
1400 Lake Shore Dr
Waco, TX 76708-3718
Mailing address
2817 Sherco Rd
Lorena, TX 76655-4097
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Geriatric Physical Therapist Primary | 2251G0304X | 1293040 (TX) |
Geriatric Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Geriatric Physical Therapy, who has demonstrated specialized knowledge and skill in the comprehensive biopsychosocial assessment and evidence-based management of movement in aging adults. This includes, but is not limited to, specialized knowledge in and consideration of normal age-related changes and pat…
6 other providers at this address
- Coryell County Memorial Hospital AuthoritySkilled Nursing Facility Waco, TX NPI 1760899157
- Crestview HH Opco LLCSkilled Nursing Facility Waco, TX NPI 1548813652
- Crestview Healthcare Residence LtdSkilled Nursing Facility Waco, TX NPI 1508813601
- Waco Healthcare Residence LLCSkilled Nursing Facility Waco, TX NPI 1164081352
- Diana Cuevas CooperPhysical Therapy Assistant Waco, TX NPI 1861973208
- Thomas Joseph Spencer Iii, COTAOccupational Therapy Assistant Waco, TX NPI 1295602571
Other geriatric physical therapist providers in Waco
About NPI 1710854013
Edsel Ligutom Jr., PT's National Provider Identifier is 1710854013, issued on Oct 21, 2025. The primary taxonomy on file is Geriatric Physical Therapist (2251G0304X), and the practice location is in Waco, TX. The record was last updated on Oct 21, 2025.