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AMANDA BUCKLES PT
>> Physical Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersRegistrant NPI Number: 1093796682
Individual Registrant: AMANDA BUCKLES PT
Gender: F
Gender: F
Location and contact information for practice:
616 OAK ST PALATKA, FL 32177-4632 US
Tel: 386-312-0022 Fax: 386-312-0535
Tel: 386-312-0022 Fax: 386-312-0535
Contact information for business:
616 OAK ST PALATKA, FL 32177-4632 US
Tel: -- Fax: --
Tel: -- Fax: --
Registration Information:
NPI: 1093796682
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Physical Therapist | FL | PT22301 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
