| Doctor Name: | DR. JARED PHILIP BUECHE |
| NPI Number: | 1023336955 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | CAPT, USAF, PT, DPT |
| License Number: | 8616 |
| Business Practice Address: | 4102 Pinion Dr Usaf Academy, CO - 808402502 |
| Business Phone Number: | 7193333107 |
| Business Fax Number: | |
| Mailing Address: | 4102 Pinion Dr, USAF ACADEMY |
| State: | CO |
| Postal Code: | 808402502 |
| Phone Number: | 7193333107 |
| Fax Number: | |
| NPI Enumeration Date: | 05/17/2010 |
| NPI Last Update Date: | 06/02/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251X0800X |
| License Number: | 8616 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Orthopedic |
| Taxonomy Definition: | |