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Michael Wagaman
Sports Physical Therapist in Grapevine, Texas
NPI 1780378596

Michael Wagaman is a Sports Physical Therapist based in Grapevine, TX and is specialized in Sports. Michael Wagaman practices in Grapevine, TX. The NPI Number for Michael Wagaman is 1780378596 and holds a License No. 3131281 (Texas).

The current practice location address for Michael Wagaman is 529 Industrial Blvd Ste 101, Grapevine, TX and can be reached out via phone at 817-313-2988.

Location: 529 Industrial Blvd Ste 101, Grapevine, TX, 76051-8609
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1780378596
Provider Name
Michael Wagaman
Credential
Provider Entity Type
Individual
Gender
Male
Address
529 Industrial Blvd Ste 101, Grapevine, TX, 76051-8609
Phone Number
817-313-2988
Fax Number
Provider Enumeration Date
06/05/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
529 Industrial Blvd Ste 101
City
Grapevine
State
Texas
Zip
76051-8609
Phone Number
817-313-2988
Fax Number
person
Provider Business Mailing Address Details
Address
529 Industrial Blvd Ste 101
City
Grapevine
State
Texas
Zip
76051-8609
Phone Number
817-313-2988
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Physical Therapist
Speciality
Sports
Taxonomy
2251S0007X
License No.
3131281 (Texas)
Definition
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, medical and surgical consideration, injury prevention, and sports performance enhancement.
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