IndividualActive
Adam Waugh, MPO, CO
NPI 1487176293 · Orthotist · South Bend, IN
Provider details
- NPI number
- 1487176293
- Entity type
- Individual
- Primary specialty
- OrthotistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- MPO, CO
- Sex
- Male
- Sole proprietor
- Yes
- License
- 213.000354 (IL)
Mailing address
17530 Dugdale Dr
South Bend, IN 46635-1583
Registry dates
- Enumerated
- 2017-07-13
- Last updated
- 2017-07-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.