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Individual
MRS. MITZI BUCK
Active
Individual
MRS. MITZI BUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
03827
IA
225100000X
Physical Therapist
49201552401
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03827
STATE LICENSE
IA
01
—
04285
BCBS
IA
05
—
0665737
—
IA
01
—
49201552401
STATE LICENSE
UT
Enumeration date
03/30/2006
Last updated
07/13/2026
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