Individual
DEREK BARKER BUCKNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
3249 N 1200 W, LEHI, UT 84043-9772
(801) 753-4371
Mailing address
PO BOX 25537, SALT LAKE CITY, UT 84125-0537
(801) 753-4371
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12696815-2401
UT
Other
Enumeration date
05/24/2022
Last updated
06/19/2025
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