Individual
KIRSTEN BUCKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
103 S GIBSON ST, MEDFORD, WI 54451-1622
(715) 748-8112
Mailing address
103 S GIBSON ST, MEDFORD, WI 54451-1622
(715) 748-8112
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12395-24
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1104922714
—
WI
01
—
1619079597
COMMERCIAL INSURANCE
WI
Enumeration date
08/05/2013
Last updated
02/19/2016
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