Individual
MR. DOMINIC JAMES BUCKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMP
Contact information
Practice address
849 NE 59TH ST, SEATTLE, WA 98105-2735
(773) 706-7430
Mailing address
849 NE 59TH ST, SEATTLE, WA 98105-2735
(773) 706-7430
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60598335
WA
Other
Enumeration date
11/04/2015
Last updated
11/04/2015
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