Individual
DR. DYLAN KURT WAGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
2150 STADIUM DRIVE 2ND FLOOR, BOULDER, CO 80309-0001
(303) 315-9900
Mailing address
3553 N FILLMORE ST, DENVER, CO 80205-4259
(321) 412-3404
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PTL0020298
CO
Other
Enumeration date
12/24/2024
Last updated
12/24/2024
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