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

Kelli Waggonner

Individual provider Occupational Therapy Assistant · NPI 1790320034

Kelli Waggonner is an Occupational Therapy Assistant in Port Arthur, Texas. Licensed in Texas. Registered with an NPI since 2019.

Licensed in
TX
In the registry since
2019
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Practice location Address checks out

8595 Medical Center Blvd
Port Arthur, TX 77640-2428
Phone: (409) 721-8600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 212923 (TX)

Record details

NPI number1790320034
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 11, 2019
Last updated in NPPESNovember 11, 2019
Mailing address5685 Pat Dr, Orange, TX 77630-7571

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