Most Relevant Information
Provider Data
| NPI Number: | 1003805821 |
| Provider Name: | LISA INGER BRUECKNER PT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 4831 |
Most Important Dates
| Enumeration Date: | 10/14/2005 |
| Last Updated: | 02/28/2012 |
Provider Practice Location
14000 E ARAPAHOE RD
SUITE 370
CENTENNIAL
CO
801124043
Practice Location Phone/Fax
| Phone: | 7207544710 |
| Fax: | 3036993112 |
Provider Mailing Location
4900 S MONACO ST
SUITE 210
DENVER
CO
802373486
Provider Mailing Phone/Fax
| Phone: | 7207544710 |
| Fax: | 3036993112 |