Individual
GARY DOUGLAS BUCKLEY JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT,,DPT
Contact information
Practice address
400 CRESTWOOD CIR STE G, MENA, AR 71953-5512
(479) 394-1161
(479) 394-7667
Mailing address
400 CRESTWOOD CIR STE G, MENA, AR 71953-5512
(479) 394-1161
(479) 394-7667
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT3411
AR
Other
Enumeration date
11/03/2011
Last updated
11/03/2011
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