Individual
MS. MEGAN MARIE BUCKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
111 NE MOCK AVE, BLUE SPRINGS, MO 64014
(816) 220-4200
Mailing address
4406 BELL ST, KANSAS CITY, MO 64111-4348
(402) 943-9642
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2015009396
MO
Other
Enumeration date
12/03/2020
Last updated
12/03/2020
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