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

Active since May 29, 2024
600 DENMARK ST, BALDWIN, MI 49304(231) 745-4648(231) 745-3724 Get Directions Write a Review

NPPES record last updated: June 4, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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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Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAKE COUNTY CARE CENTER, INC.
Skilled Nursing Facility
600 DENMARK ST
BALDWIN, MI 49304
Lake County (231) 745-4648
CHELSEA BROERSMA RN
Registered Nurse
600 DENMARK ST
BALDWIN, MI 49304
Lake County (906) 298-2284
MRS. MICHELLE AMANDA NAGEL OTR
Occupational Therapist
600 DENMARK ST
BALDWIN, MI 49304
Lake County (231) 745-4648
MRS. KATRINA CARRIGAN OTRL
Occupational Therapy Assistant
600 DENMARK ST
BALDWIN, MI 49304
Lake County (231) 745-4648
ASHLEY ZIKA COTA/L
Occupational Therapy Assistant
600 DENMARK ST
BALDWIN, MI 49304
Lake County (231) 745-4648
KARI RAE HALLEAD
Occupational Therapy Assistant
600 DENMARK ST
BALDWIN, MI 49304
Lake County (231) 745-4648
MS. ASHLEY L GEHRING COTA
Occupational Therapy Assistant
600 DENMARK ST
BALDWIN, MI 49304
Lake County (231) 745-4648
MR. JEFFREY ALLAN BATES BS PHARM
Pharmacist (Geriatric)
600 DENMARK ST
BALDWIN, MI 49304
Lake County (231) 745-4648

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 Alicia Waganfeald's NPI number?

The NPI number for Alicia Waganfeald is 1902646698. It was assigned to this individual provider in the NPPES registry on May 29, 2024.

Where is Alicia Waganfeald located?

Alicia Waganfeald practices at 600 Denmark St, Baldwin, MI 49304. The listed phone number is (231) 745-4648.

What is Alicia Waganfeald's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Sports Medicine, with taxonomy code 2081S0010X.

When was this NPI record last updated?

The NPPES record for Alicia Waganfeald was last updated on June 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.