Individual
CASEY BUCKLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
5790 W APPALACHIAN AVE, WASILLA, AK 99623-0333
(503) 970-0468
Mailing address
23756 HILLTOP DR, CHUGIAK, AK 99567-6267
(503) 970-0468
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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