Individual
JACKSON T BUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICAL THERAPY
Contact information
Practice address
7100 WEST CENTER ROAD, OMAHA, NE 68106-2714
(402) 506-9000
(402) 506-9001
Mailing address
7100 WEST CENTER ROAD, OMAHA, NE 68106-2714
(402) 506-9000
(402) 506-9001
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4060
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47065477701
—
NE
Enumeration date
07/06/2020
Last updated
08/25/2023
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