-- KELLY BUCKMAN -- PTA
Individual Provider (NPI-1)
Active
Physical Therapy Assistant
Provider Information
- NPI Number
1003219973- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PTA
- Status
- Active
Contact & Location
- Address
- 201 W BROADWAY, COUNCIL BLUFFS, IA, 515039004
- Phone
- (712) 329-9419
- Fax
- (712) 329-0329
Specialties & Taxonomies
Physical Therapy Assistant
Primary License: IA #004861
Physical Therapy Assistant
License: NE #1107