Individual provider · Type 1 NPI
Michael Wagaman
Sports Physical Therapist · Grapevine, TX
Practice location
529 Industrial Blvd Ste 101
Grapevine, TX 76051-8609
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Sports Physical Therapist Primary | 2251S0007X | 3131281 (TX) |
Sports Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Sports Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science, pathology and pathophysiology, medical and surgical intervention, and health and wellness, as well as rehabilitation/return to sports, management of acute injury/illness, medica…
About NPI 1780378596
Michael Wagaman's National Provider Identifier is 1780378596, issued on Jun 5, 2023. The primary taxonomy on file is Sports Physical Therapist (2251S0007X), and the practice location is in Grapevine, TX. The record was last updated on Jun 5, 2023.