Dr. Austin Michael Lake
Physical Therapist
4681 W 20th St Unit 202b
Greeley
, Colorado 80634
Dr. Austin Michael Lake
Physical Therapist
4681 W 20th St Unit 202b
Greeley
, Colorado 80634
(720) 331-3687
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About
Features
Specialties
- Physical Therapist
Languages spoken
- English
Location
First Address
- Dr. Austin Michael Lake
- 2212 34th Ave
- Greeley, CO
- Zip : 80634-7547
- Phone : (720) 331-3687
Second Address
- Dr. Austin Michael Lake
- 4681 W 20th St Unit 202b
- Greeley, CO
- Zip : 80634
- Phone : (720) 331-3687
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 14911 | CO |
National Provider Identifier
| NPI | 1003305319 |
|---|---|
| Provider Name | Dr. Austin Michael Lake |
| First Address | Greeley, CO 80634-7547 |
| Second Address | Greeley, CO 80634 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/05/2018 |
| Last Update Date | 04/03/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.