Sarah Waggoner, DPT
Physical Therapist in Omaha, NE. Individual provider (NPI-1).
NPI number1407153166
StatusActive
Last updated in NPPESFeb 16, 2011
Details
- NPI
- 1407153166
- Entity type
- Individual (NPI-1)
- Name
- Sarah Waggoner
- Credential
- DPT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 16, 2011
- Last updated
- Feb 16, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 2950 | NE | Yes |
| 225100000X | Physical Therapist | 004717 | IA |
Practice location
2403 S 133rd PlzOmaha, NE 68144-5905
Phone 402-330-8433
Mailing address
2403 S 133rd PlzOmaha, NE 68144-5905
Phone 402-330-8433
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