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

MR. MICHAEL T WAGNON, PT

Active

Physical Therapy Assistant · LAFAYETTE, CO

Registration Details

NPI Number
1366491755
Provider Type
Individual
Gender
Male
NPI Issued
May 10, 2006 (19.947414654354 yrs)
Last Updated
May 20, 2021
Licenses
3047 (NM)
9520 (CO)

Practice Information

Address
280 EXEMPLA CIR
LAFAYETTE, CO, 800263370
Browse CO providers · Browse ZIP 80026
Phone
3033384545
Primary Specialty
Physical Therapy Assistant
225100000X
Additional Specialty
Physical Therapy Assistant

Other Physical Therapy Assistant Providers in LAFAYETTE, CO

Name Credential NPI
MR. JAMES ANTHONY MILANI MPT 1730144940
MS. LORA LYNN PARRISH PT 1801843628
MS. LENORE JOAN KITANI P.T. 1619992534
MS. MARCIA BETH BIRKENKAMP RPT 1801961271
REBECCA J BRUNNER MPT 1386719912
MRS. DEBRA JUNE MCKROLA MSPT 1699840421
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.