Individual
CASEY BUCKLAND
Active
Individual
CASEY BUCKLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
103586
AK
2251E1300X
Clinical Electrophysiology Physical Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CE230674
BOARD-CERTIFIED CLINICAL ELECTROPHYSIOLOGIC SPECIALIST
—
Enumeration date
07/30/2015
Last updated
10/27/2023
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