DR. Austin Michael Lake, PT, DPT

NPI #1003305319 in Greeley, Colorado

Provider Information

NPI Number: 1003305319
Entity Type: Individual
Name: DR. Austin Michael Lake, PT, DPT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: PT, DPT
Enumeration Date: May 2, 2018
Last Updated: Mar 4, 2020

Practice Location

Address: 4681 W 20TH ST UNIT 202B
City: Greeley
State: Colorado
ZIP Code: 80634
Phone: (720) 331-3687

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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