Individual
JOHN BUCKLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1630 HICKORY LANE, SEDALIA, MO 65301
(573) 746-0087
Mailing address
1630 HICKORY LANE, SEDALIA, MO 65301
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
05/08/2013
Last updated
05/08/2013
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