Healthcare Provider Details

I. General information

NPI: 1386202976
Provider Name (Legal Business Name): NICHOLAS PAUL WOHKITTEL PT, DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/30/2019
Last Update Date: 07/05/2023
Certification Date: 02/26/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6140 TUTT BLVD STE 110
COLORADO SPRINGS CO
80923-3577
US

IV. Provider business mailing address

4110 BRIARGATE PKWY STE 300
COLORADO SPRINGS CO
80920-7837
US

V. Phone/Fax

Practice location:
  • Phone: 719-632-7669
  • Fax: 719-632-0088
Mailing address:
  • Phone: 719-632-7669
  • Fax: 719-632-0088

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: