Individual
KYLE BUCKHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
506 12TH AVE, SEATTLE, WA 98122-5509
(206) 430-6262
Mailing address
2014 E YESLER WAY APT 216, SEATTLE, WA 98122-5805
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
60965462
WA
Other
Enumeration date
07/02/2019
Last updated
07/02/2019
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