NPI 1003219973

Kelly Buckman, PTA

Practitioner Physical Therapy Assistant Council Bluffs, IA

Practice location

Address: 201 W Broadway, Council Bluffs, IA 51503-9004
Phone: (712) 329-9419
Fax: (712) 329-0329

Registered specialties (2)

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 004861 (IA)

Other Physical Therapy Assistant providers in Iowa →

Physical Therapy Assistant

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 1107 (NE)

Registry record

NPI: 1003219973
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 Oct 2014
Record last updated: 6 Oct 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.