Organization
SPINE & SPORT PHYSICAL THERAPIST CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN WAGGONER DPT (OWNER)
(865) 332-7422
Entity
Organization
Contact information
Practice address
402 S WILSON DAM RD, MUSCLE SHOALS, AL 35661-3662
(256) 715-5868
(256) 253-5633
Mailing address
402 S WILSON DAM RD, MUSCLE SHOALS, AL 35661-3662
(865) 332-7422
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
09/02/2022
Last updated
12/31/2023
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