Individual
COREY WAGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
2140 SILENT RAIN DR, COLORADO SPRINGS, CO 80919-3001
(433) 786-4477
Mailing address
2140 SILENT RAIN DR, COLORADO SPRINGS, CO 80919-3001
(433) 786-4477
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12697
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0012697
COLORADO DEPARTMENT OF REGULATORY AGENCIES
CO
Enumeration date
04/24/2015
Last updated
10/14/2021
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