Individual
MR. ADAM CLARK WAGGONER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.T.
Contact information
Practice address
408 NE 72ND ST, SEATTLE, WA 98115-5409
(206) 524-5115
(206) 524-2456
Mailing address
408 NE 72ND ST, SEATTLE, WA 98115-5409
(206) 524-5115
(206) 524-2456
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT60594917
WA
Other
Enumeration date
07/26/2015
Last updated
11/30/2015
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