Organization
BLUE SKY PHYSICAL THERAPY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER ELISE LANE MPT (OWNER/OFFICER/PHYSICAL THERAPIST)
(303) 917-8952
Entity
Organization
Contact information
Practice address
155 S MADISON ST, SUITE 303, DENVER, CO 80209-3011
(303) 917-8952
Mailing address
155 S MADISON ST, SUITE 303, DENVER, CO 80209-3011
(303) 917-8952
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
8000
CO
Other
Enumeration date
09/16/2008
Last updated
09/16/2008
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