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Individual

JAYNA BUCKLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, OTRL

Contact information

Practice address
851 NW 45TH ST STE 209, KANSAS CITY, MO 64116-4613
(816) 452-1633
Mailing address
851 NW 45TH ST STE 209, KANSAS CITY, MO 64116-4613
(816) 452-1633

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2007001838
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2007001838
OT LICENSE #
MO
Enumeration date
05/16/2007
Last updated
03/21/2017
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