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

Individual provider Physical Therapist · NPI 1215252192

Mrs. Marti Jo Waggoner, PT is a Physical Therapist in Olney, Illinois. Licensed in Illinois. Registered with an NPI since 2010.

Licensed in
IL
In the registry since
2010
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

800 E Locust St
Olney, IL 62450-2553
Phone: (618) 395-6031
Fax: (618) 395-6289
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 070-006237 (IL)

Record details

NPI number1215252192
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedApril 2, 2010
Last updated in NPPESApril 2, 2010

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