ALICIA MARIE WAGANFEALD PTA - NPI 1902646698 - Physical Medicine & Rehabilitation in Baldwin, MI

Q: What is the provider's specialty?

The provider's specialty is Physical Medicine & Rehabilitation with taxonomy code 2081S0010X and a focus in Sports Medicine.

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About Alicia Marie Waganfeald Pta NPPES

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

ALICIA MARIE WAGANFEALD PTA (NPI 1902646698) is an individual sports medicine provider in Baldwin, Michigan, licensed in Michigan (5502008588) and active in the NPI registry since May 2024.

NPPES Registry Identity

NPI1902646698

Entity TypeIndividualFemale

Primary Taxonomy2081S0010X

Provider Legal NameALICIA MARIE WAGANFEALDCredential: PTA

Location Address600 DENMARK STBaldwin, MI 49304-7500

Mailing Address1805 Milton Ave Apt 127cBig Rapids, MI 49307-2612 · (989) 359-9417

Phone(231) 745-4648

Fax(231) 745-3724

Sole ProprietorNo

Enumeration DateMay 29, 2024

Last NPPES UpdateJune 4, 2024

NPPES CertifiedJune 4, 2024

✔ NPI 1902646698 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2081S0010X

License✔ Licensed in MI · 5502008588

Definition

A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise.

600 DENMARK ST, Baldwin, MI 49304

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