Wyatt A Machupa, DPT
Physical Therapist, Neurology in Colorado Springs, CO. Individual provider (NPI-1).
NPI number1164074852
StatusActive
Last updated in NPPESJul 12, 2019
Details
- NPI
- 1164074852
- Entity type
- Individual (NPI-1)
- Name
- Wyatt A Machupa
- Credential
- DPT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 12, 2019
- Last updated
- Jul 12, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2251N0400X | Physical Therapist, Neurology | 0016393 | CO | Yes |
| 2251X0800X | Physical Therapist, Orthopedic | 0016393 | CO |
Practice location
202 E Cheyenne Mountain BlvdColorado Springs, CO 80906-3769
Phone 719-527-9331
Mailing address
202 E Cheyenne Mountain BlvdColorado Springs, CO 80906-3769
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All 10 Neurology Physical Therapist providers in Colorado Springs · All 25,904 providers in Colorado Springs
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