Individual
KYLE DANIEL BUCKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
637 E ROMIE LN, SALINAS, CA 93901-4205
(831) 424-0687
Mailing address
2600 COMPASS RD, GLENVIEW, IL 60026-8001
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
10792
CA
Other
Enumeration date
04/05/2022
Last updated
04/05/2022
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