Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Nicholas Wagner

Individual provider Occupational Therapy Assistant · NPI 1073151387

Nicholas Wagner is an Occupational Therapy Assistant in Silverthorne, Colorado. Licensed in Oregon. Registered with an NPI since 2019.

Licensed in
OR
In the registry since
2019
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Practice location Address checks out

358 Lagoon Ln
Silverthorne, CO 80498
Phone: (218) 443-3560
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 346355 (OR)

Record details

NPI number1073151387
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 17, 2019
Last updated in NPPESDecember 17, 2019
Certification dateDecember 17, 2019
Mailing address358 Lagoon Lane, Silverthorne, CO 80498