Edsel Ligutom, PT

NPI 1710854013 · on the registry since 2025 · sole proprietor

Practice

Address: 1400 Lake Shore Dr
Waco, TX 76708
Phone: (254) 753-0291
Organisation at this address: Crestview Hh Opco Llc
Waco Healthcare Residence Llc
Crestview Healthcare Residence Ltd
Coryell County Memorial Hospital Authority
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: 2251G0304X
2251G0304X
Licence states on file: TX
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2025-10-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas