NATHAN WILLIAM WAAG

GREELEY, CO
NPI1467728170
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: CO  12057)
Enumeration Date2012-03-27
Last Update Date2012-03-27
Business Address
-- NATHAN WILLIAM WAAG PTA
1700 18TH AVE
GREELEY, CO 80631-5134
Phone number: 970-353-3370
Mailing Address
-- NATHAN WILLIAM WAAG PTA
334 52ND AVE
GREELEY, CO 80634-4224
Phone number: 970-371-8208