Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. MARK ALLEN WAGNER, M.P.T.
Active Sole ProprietorMR. MARK ALLEN WAGNER, M.P.T. is a Physical Therapy Assistant healthcare provider located in LONGMONT, Colorado. NPI 1881967016 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · LONGMONT, CO
Registration Details
- NPI Number
- 1881967016
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 19, 2012 (14.480940289058 yrs)
- Last Updated
- Feb 19, 2012
- License
-
9868 (CO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4046 AREZZO DRLONGMONT, CO, 805034157Browse CO providers · Browse ZIP 80503
- Phone
- 3033048656
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in LONGMONT, CO
| Name | Credential | NPI |
|---|---|---|
| JEFFREY ROBERT FULFORD | MPT | 1598761298 |
| JEAN F COLTON | PT | 1093790172 |
| MRS. MEGAN M MCGARVEY | PT | 1073580692 |
| MRS. JUDY JODELL DORSETT | PT | 1477518967 |
| KIMBERLY MICHELLE JUGE | PT | 1104844653 |
| CHANTAL MARIE MCDONALD | M.S.P.T. | 1225049158 |
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.