Individual
KATHY O. BUCKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
800 BROAD ST, SUMMERSVILLE, WV 26651-1707
(304) 872-2735
(304) 872-9416
Mailing address
800 BROAD ST, SUMMERSVILLE, WV 26651-1707
(304) 872-2735
(304) 872-9416
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
000461
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0201246000
—
WV
Enumeration date
10/27/2006
Last updated
07/08/2007
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