Individual
JEFFREY LYNN WAGNAAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
325 KING ST, DENVER, CO 80219-1326
(303) 225-4100
(303) 486-5501
Mailing address
325 KING ST, DENVER, CO 80219-1326
(303) 225-4100
(303) 486-5501
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
225100000X
Physical Therapist
PTL-6924
CO
Other
Enumeration date
03/20/2007
Last updated
11/27/2023
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