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

Michael Wagaman

Individual provider Sports Physical Therapist · NPI 1780378596

Michael Wagaman is a Sports Physical Therapist in Grapevine, Texas. Licensed in Texas. Registered with an NPI since 2023.

Licensed in
TX
In the registry since
2023

Practice location Address checks out

529 Industrial Blvd Ste 101
Grapevine, TX 76051-8609
Phone: (817) 313-2988
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Physical Therapist (primary) Taxonomy 2251S0007X · Licence 3131281 (TX)

Record details

NPI number1780378596
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 5, 2023
Last updated in NPPESJune 5, 2023
Certification dateJune 5, 2023
Mailing address529 Industrial Blvd Ste 101, Grapevine, TX 76051-8609

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