LISA ANN WAUGH LMT
NPI 1053517011
Neuromusculoskeletal Medicine, Sports Medicine in S Charleston, WV

Active since June 26, 2007
1109 JEFFERSON RD, S CHARLESTON, WV 25309(304) 610-7888 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lisa Ann Waugh Lmt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LISA ANN WAUGH LMT (NPI 1053517011) is an individual neuromusculoskeletal medicine, sports medicine provider in S Charleston, West Virginia, licensed in West Virginia (0388) and active in the NPI registry since June 2007.

NPPES Registry Identity

NPI1053517011
Entity TypeIndividualFemale
Primary Taxonomy204C00000X
Provider Legal NameLISA ANN WAUGHCredential: LMT
Location Address1109 JEFFERSON RDS Charleston, WV 25309-9780
Mailing Address2939 Shadyside RdSt Albans, WV 25177 · (304) 610-7888
Sole ProprietorYes
Enumeration DateJune 26, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1053517011 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNeuromusculoskeletal Medicine, Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code204C00000X
License Licensed in WV · 0388
Definition
A Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician trained to be responsible for the continuous care in the field of sports medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine and integrates each of these into the management of the individual engaged in physical exercise (sports) whether as an individual or in team participation. Source: American Osteopathic Association Additional Resources: AOA Osteopathic Board Certification in Neuromusculoskeletal Medicine; https://certification.osteopathic.org/sports-medicine/
1109 JEFFERSON RD, S Charleston, WV 25309

Other Identifiers 1

Other0388WV · License

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lisa Waugh's NPI number?

The NPI number for Lisa Waugh is 1053517011. It was assigned to this individual provider in the NPPES registry on June 26, 2007.

Where is Lisa Waugh located?

Lisa Waugh practices at 1109 Jefferson Rd, S Charleston, WV 25309. The listed phone number is (304) 610-7888.

What is Lisa Waugh's specialty?

The primary specialty registered for this NPI is Neuromusculoskeletal Medicine, Sports Medicine with taxonomy code 204C00000X.

When was this NPI record last updated?

The NPPES record for Lisa Waugh was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.