Individual
DAVID CHRISTOPHER BUCKNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
111 HOMANS AVE, CLOSTER, NJ 07624-2728
(201) 784-5575
Mailing address
167 HUNGRY HOLLOW RD, CHESTNUT RIDGE, NY 10977-6155
(845) 248-9032
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18KT01360000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18KT01360000
NJ DIVISION OF CONSUMER AFFAIRS - LMT
NJ
Enumeration date
10/10/2022
Last updated
10/10/2022
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