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Austin Lake, PT, DPT

NPI 1003305319 · on the registry since 2018 · sole proprietor

Practice

Address
4681 W 20th St Unit 202b
Greeley, CO 80634
Phone
(720) 331-3687

Additional practice sites

  • 4401 Union St, Johnstown, CO
  • 1455 Main St Ste 170, Windsor, CO
  • 4800 W 25th St, Greeley, CO
  • 4800 W 25th St, Greeley, CO

Registry record

Primary taxonomy
225100000X
225100000X
Licence states on file
CO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-03-04

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Colorado