Individual
DR. REYNA BUCKNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T., D.P.T.
Contact information
Practice address
3320 N STOCKTON HILL RD STE C, KINGMAN, AZ 86409-3611
(407) 376-1404
Mailing address
3320 N STOCKTON HILL RD STE C, KINGMAN, AZ 86409-3611
(407) 376-1404
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
LPT-31545
AZ
Other
Enumeration date
08/16/2016
Last updated
05/17/2024
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