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Contact Information

AUSTIN M LAKE, PT, DPT
4681 W 20TH ST UNIT 202B
GREELEY, CO80634
 Phone: 720-331-3687
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for AUSTIN M LAKE · (Male)

NPI # 1003305319
Status Active
Credentials PT, DPT
Entity Individual
Enumeration date 05/02/2018
Last updated 03/04/2020 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • CO License # 14911
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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