NPI 1134421720

Justin Buccille

Practitioner Physical Therapy Assistant Siloam Springs, AR

Practice location

Address: 918 S Mount Olive St, Siloam Springs, AR 72761-4220
Phone: (479) 967-2322
Mailing address: PO Drawer 2109, Russellivlle, AR 72811

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X

Other Physical Therapy Assistant providers in Arkansas →

Registry record

NPI: 1134421720
Entity type: Individual
Sex (as registered): Male
NPI issued: 2 Dec 2010
Record last updated: 2 Apr 2013

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.