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

Michelle Waggoner

Individual provider Physical Therapy Assistant · NPI 1912671140

Michelle Waggoner is a Physical Therapy Assistant in North las Vegas, Nevada. Licensed in Nevada. Registered with an NPI since 2021.

Licensed in
NV
In the registry since
2021

Practice location Address checks out

3870 W Ann Rd
North las Vegas, NV 89031-4411
Phone: (702) 396-7100
Show map & directions

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

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence A-1409 (NV)

Record details

NPI number1912671140
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 2, 2021
Last updated in NPPESAugust 2, 2021
Certification dateAugust 2, 2021

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