Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Joseph Wagoner

Individual provider Athletic Trainer · NPI 1518672641

Joseph Wagoner is an Athletic Trainer in Gaffney, South Carolina. Licensed in Michigan and South Carolina. Registered with an NPI since 2023.

Licensed in
MI, SC
In the registry since
2023
Specialties on file
2

Practice location Address checks out

503 Thompson St
Gaffney, SC 29340-3619
Phone: (864) 761-6642
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 1675 (SC)
Athletic Trainer Taxonomy 2255A2300X · Licence 2601002742 (MI)

Record details

NPI number1518672641
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 23, 2023
Last updated in NPPESFebruary 9, 2025
Certification dateFebruary 9, 2025
Mailing address4042 Walloon Ln Apt 311, Spartanburg, SC 29301-6626

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