Noah Wagner Valid NPI
Individual provider · Athletic Trainer · Frisco, CO
- NPI
- 1821681925
- Type
- Individual (Type 1)
- Primary specialty
- Athletic Trainer (Specialist/Technologist)
- Specialty group
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Taxonomy code
- 2255A2300X
- License number
- AT.0002450 (CO)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2021-02-19
- Last updated
- 2022-06-08
Practice location
505 Copper Road
Frisco, CO 80443
(888) 350-1544