Mrs. Jennifer Lee Wagoner, PT
Mrs. Jennifer Lee Wagoner, PT is a Physical Therapist in Private Practice in Macomb, Illinois. Qualified in 2007, 19 years ago. Practices with Springfield Clinic, LLP, a 679-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.
- Years since qualifying
- 19
- Licensed in
- IL
- In the registry since
- 2011
What do these letters mean?
- PT — Physical Therapist
- A licensed therapist who treats movement, pain and injury.
Practice location Address checks out
505 E Grant StMacomb, IL 61455-3352
Phone: (309) 833-1733
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 625 E Monroe St, Cuba, IL 61427-5109 — (309) 785-5012
Specialties & licences
| Physical Therapist (primary) | Taxonomy 225100000X · Licence 070015942 (IL) |
|---|
Record details
| NPI number | 1861785206 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PT |
| Sole proprietor | No |
| NPI enumerated | May 18, 2011 |
| Last updated in NPPES | February 10, 2022 |
| Certification date | February 10, 2022 |
Medicare enrollment
| Medicare specialty | PHYSICAL THERAPIST IN PRIVATE PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 2007 (19 years in practice) |
| Group practice | Springfield Clinic, Llp — 679 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Macomb
-
Victor Erude Lidaywa, DPT
1701 W Jackson St Ste C, Macomb, IL 61455-3175 · (309) 331-3590
-
MS. Jody Lee Loop, PT
8 Doctors Ln, Macomb, IL 61455-3310 · (309) 833-5555
-
Dana Peacock
525 E Grant St, Macomb, IL 61455-3318 · (309) 836-1601
-
Sherri Lynn Vancil, PT
130 S Lafayette St Ste 201, Macomb, IL 61455-2239 · (309) 837-3911