Alicia Marie Waganfeald, PTA
Alicia Marie Waganfeald, PTA is a Sports Medicine (Physical Medicine & Rehabilitation) Physician in Baldwin, Michigan. Licensed in Michigan. Registered with an NPI since 2024.
- Licensed in
- MI
- In the registry since
- 2024
What do these letters mean?
- PTA — Physical Therapist Assistant
- Delivers treatment under a physical therapist's direction.
Practice location Address checks out
600 Denmark StBaldwin, MI 49304-7500
Phone: (231) 745-4648
Fax: (231) 745-3724
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Sports Medicine (Physical Medicine & Rehabilitation) Physician (primary) | Taxonomy 2081S0010X · Licence 5502008588 (MI) |
|---|
Record details
| NPI number | 1902646698 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PTA |
| Sole proprietor | No |
| NPI enumerated | May 29, 2024 |
| Last updated in NPPES | June 4, 2024 |
| Certification date | June 4, 2024 |