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Contact Information

EDSEL LIGUTOM JR, PT
1400 LAKE SHORE DR
WACO, TX76708-3718
 Phone: 254-753-0291
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatrics

2251G0304X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for EDSEL LIGUTOM JR · (Male)

NPI Number 1710854013
Status Active
Credentials PT (Physical Therapist)
Entity Individual
Enumeration date 10/21/2025
Last updated 10/21/2025 - About 8 months ago
Sole proprietor 1 Yes
Identifiers
  • TX License # 1293040
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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