DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. AUSTIN MICHAEL LAKE, PT, DPT

Active Sole Proprietor

DR. AUSTIN MICHAEL LAKE, PT, DPT is a Physical Therapy Assistant healthcare provider located in GREELEY, Colorado. NPI 1003305319 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · GREELEY, CO

Registration Details

NPI Number
1003305319
Provider Type
Individual
Gender
Male
NPI Issued
May 2, 2018 (8.2981081049603 yrs)
Last Updated
Mar 4, 2020
License
14911 (CO)
Sole Proprietor
Yes

Practice Information

Address
4681 W 20TH ST UNIT 202B
GREELEY, CO, 80634
Browse CO providers · Browse ZIP 80634
Phone
7203313687
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in GREELEY, CO

Name Credential NPI
MS. TAMI L STORY P T 1336102292
SCOTT KOSOLA DPT 1639190648
NEAL CASHMAN PT DPT 1700807724
KATHERINE H GIESIGE PT 1669495800
GARA GRIFFIN PT 1861406233
MR. MICHAEL BATES PT 1275641953
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.