Individual
GINA BUCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
634 NW ARIZONA AVE, BEND, OR 97703-3260
(541) 797-6744
Mailing address
634 NW ARIZONA AVE, BEND, OR 97703-3260
(541) 797-6744
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
25332
OR
Other
Enumeration date
01/17/2025
Last updated
01/17/2025
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