NPI 1265115059

Mitchell Ryan Buckmaster, LMT

Practitioner Massage Therapist Tulsa, OK

Practice location

Address: 702 S Utica Ave, Tulsa, OK 74104-3213
Phone: (713) 826-9594

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 0019017390 (VA)

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Registry record

NPI: 1265115059
Entity type: Individual
Sex (as registered): Male
NPI issued: 9 Aug 2023
Record last updated: 9 Aug 2023

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.