Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NICHOLAS WAGNER
ActiveNICHOLAS WAGNER is a Occupational Therapy Assistant healthcare provider located in SILVERTHORNE, Colorado. NPI 1073151387 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapy Assistant · SILVERTHORNE, CO
Registration Details
- NPI Number
- 1073151387
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 17, 2019 (6.7003841257308 yrs)
- Last Updated
- Dec 17, 2019
- License
-
346355 (OR)
Practice Information
- Address
-
358 LAGOON LANESILVERTHORNE, CO, 80498Browse CO providers · Browse ZIP 80498
- Phone
- 2184433560
- Primary Specialty
-
Occupational Therapy Assistant
224Z00000X
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.