MATTHEW WAGNER, P.T.
Physical Therapist
Active
Individual
NPI: 1043413859
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physical Therapist | 225100000X | Yes | PTL.0010633 (CO) |
Frequently Asked Questions
NPI 1043413859 is the National Provider Identifier for MATTHEW WAGNER, P.T., a Physical Therapist provider located in Boulder, CO. This NPI was enumerated on June 8, 2007.
MATTHEW WAGNER, P.T. practices at 2150 STADIUM DRIVE, Boulder, CO 80309.
Quick Facts
- NPI
- 1043413859
- Type
- Individual
- Enumerated
- Jun 8, 2007
- Last Updated
- Sep 29, 2022
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