Shelby Waggoner (NPI# 1629511779, PAC ID# 4981983418) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1629511779 |
| PAC ID by PECOS | 4981983418 |
| Professional Enrollment ID | I20161128000601 |
| Full Name | Shelby Waggoner |
| Organization Legal Name | AGILITY HEALTH, LLC |
| Address |
24466 Red Arrow Hwy D Mattawan MI 49071-9804 |
| Phone Number | 2694626431 |
| Gender | F |
| Graduation Year | 2016 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 8921065707 |
| Number of Group Practice Members | 18 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 24466 Red Arrow Hwy D, Mattawan, MI 49071-9804 | 2694626431 | AGILITY HEALTH, LLC |
| Organization Legal Name | AGILITY HEALTH, LLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brittany A Morton | Physical Therapy | Agility Health, LLC | 24466 Red Arrow Hwy D, Mattawan, MI 49071-9804 |
| Rachel A Heraghty | Physical Therapy | Agility Health, LLC | 6016 Lovers Ln, Portage, MI 49002-3050 |
| Street Address |
24466 RED ARROW HWY D |
| City | MATTAWAN |
| State | MI |
| Zip | 49071-9804 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brittany A Morton | Physical Therapy | Agility Health, LLC | 24466 Red Arrow Hwy D, Mattawan, MI 49071-9804 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kayla Jean Ranger-dean | Chiropractic | 55475 N Main St, Mattawan, MI 49071-8304 | |
| Teresa M Seim | Optometry | 52883 N Main St, Mattawan Family Eye Care, Mattawan, MI 49071-8309 | |
| Ian M Heinicke | Physical Therapy | Lacey Physical Therapy Center Incorporated | 23211 Red Arrow Hwy, Mattawan, MI 49071-9701 |
| Kevin J Lacey | Physical Therapy | Lacey Physical Therapy Center Incorporated | 23211 Red Arrow Hwy, Mattawan, MI 49071-9701 |
| Alan B Colestock | Physical Therapy | Lacey Physical Therapy Center Incorporated | 23211 Red Arrow Hwy, Mattawan, MI 49071-9701 |
| Brice R Jenkins | Physical Therapy | Lacey Physical Therapy Center Incorporated | 23211 Red Arrow Hwy, Mattawan, MI 49071-9701 |
| Jeffrey P Ott | Physical Therapy | Lacey Physical Therapy Center Incorporated | 23211 Red Arrow Hwy, Mattawan, MI 49071-9701 |
| Jonathan H Epstein | Internal Medicine | Bronson Methodist Hospital | 23332 Red Arrow Hwy, Mattawan, MI 49071-9703 |
| Kathryn Bigsby | Physical Therapy | Alliance Physical Therapy Group LLC | 24466 Red Arrow Hwy, Suite D, Mattawan, MI 49071-9804 |
| City | MATTAWAN |
| Zip Code | 49071 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | MATTAWAN + PHYSICAL THERAPY |
Please comment or provide details below to improve the information on Shelby Waggoner.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.