Individual
MICHAEL BUCKNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
1808 KINGS RD, EDMOND, OK 73013-4326
(405) 315-5659
Mailing address
1808 KINGS RD, EDMOND, OK 73013-4326
(405) 315-5659
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
192001
OK
Other
Enumeration date
03/11/2024
Last updated
03/11/2024
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