| Doctor Name: | MR. TERRY LYNN BUCKLEY |
| NPI Number: | 1124347232 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | 012520 |
| Business Practice Address: | 2904 N Ridge Rd E Ashtabula, OH - 440044302 |
| Business Phone Number: | 4409927500 |
| Business Fax Number: | 4409928366 |
| Mailing Address: | 7220 Lisbon Rd, LISBON |
| State: | OH |
| Postal Code: | 444329323 |
| Phone Number: | 2395711440 |
| Fax Number: | |
| NPI Enumeration Date: | 05/28/2010 |
| NPI Last Update Date: | 05/28/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251X0800X |
| License Number: | 012520 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Orthopedic |
| Taxonomy Definition: | |