Organization
BUCKETNDOIT FITNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH BUCKNER (OWNER)
(202) 903-4739
Entity
Organization
Contact information
Practice address
1354 MADISON ST NW, WASHINGTON, DC 20011-7841
(202) 903-4739
Mailing address
1354 MADISON ST NW, WASHINGTON, DC 20011-7841
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
03/11/2024
Last updated
03/11/2024
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