Nicholas Wagner

Occupational Therapy Assistant · Silverthorne, CO

Individual Active NPI

NPI number 1073151387

Practice location

358 Lagoon Lane
Silverthorne, CO 80498
Phone
(218) 443-3560

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NPI record

NPI
1073151387
Entity type
Individual (Type 1)
Enumeration date
December 17, 2019
Last updated
December 17, 2019
Certified
December 17, 2019
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Occupational Therapy Assistant Primary 224Z00000X 346355 OR

About Nicholas Wagner

Nicholas Wagner is a healthcare provider registered in the NPI registry with the primary taxonomy Occupational Therapy Assistant (code 224Z00000X). The practice location is 358 Lagoon Lane, Silverthorne, CO 80498. The NPI number 1073151387 was assigned on December 17, 2019 and the record was last updated on December 17, 2019.

Nicholas Wagner lists a license in the registry: #346355 (OR) for Occupational Therapy Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Nicholas Wagner?

The NPI number is 1073151387.

What is the phone number of Nicholas Wagner?

The phone number listed for the practice location is (218) 443-3560.

Where is Nicholas Wagner located?

358 Lagoon Lane, Silverthorne, CO 80498.

What is the taxonomy code for Nicholas Wagner?

The primary taxonomy code is 224Z00000X – Occupational Therapy Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.