Organization
BLUE FEATHERS, PLLC
Active
Other names
Direct Source Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
AUNDREA LUCERO PT, DPT (OWNER/OPERATOR)
(303) 219-0443
Entity
Organization
Contact information
Practice address
11990 GRANT ST STE 550, NORTHGLENN, CO 80233-1101
(303) 219-0443
Mailing address
11990 GRANT ST STE 550, NORTHGLENN, CO 80233-1101
(303) 219-0443
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
08/15/2023
Last updated
08/15/2023
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