Individual
MATTHEW STEVEN BUCKNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MAT, LAT, ATC, C-PS
Contact information
Practice address
300 W HAWTHORNE RD, SPOKANE, WA 99251-2515
(509) 777-4764
Mailing address
2703 S DIVISION ST, SPOKANE, WA 99203-1874
(406) 600-6724
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
11357098-4810
UT
2255A2300X
Athletic Trainer
Primary
A161199392
WA
Other
Enumeration date
07/04/2017
Last updated
09/01/2022
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