NPI 1023279106

Desiree Blaire Bukovsky, PTDPT

Practitioner Physical Therapist Fort Collins, CO

Practice location

Address: 4674 Snow Mesa Dr Suite 140, Fort Collins, CO 80528-8615
Phone: (970) 266-3850
Fax: (970) 266-3855
Mailing address: 2312 Limousin Court, Fort Collins, CO 80526

Registered specialties (2)

Physical Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence 9650 (CO)

Other Physical Therapist providers in Colorado →

Physical Therapist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence 22569 (MD)

Registry record

NPI: 1023279106
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Jun 2008
Record last updated: 11 Jan 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.