Jennifer Wagoner, P.T.
NPI 1861785206 · Physical Therapist · Macomb, IL
Jennifer Wagoner, P.T. is a Physical Therapist provider in Macomb, IL (NPI 1861785206).
Provider details
- NPI number
- 1861785206
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- P.T.
- Sex
- Female
- Sole proprietor
- No
- License
- 070015942 (IL)
Practice location
Mailing address
Registry dates
- Enumerated
- 2011-05-18
- Last updated
- 2022-02-10
- Certified
- 2022-02-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.