Doctor Name: | ALICE BUCKALEW |
NPI Number: | 1245449727 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 1266 |
Business Practice Address: | 2835 W Saint Germain St Suite 300 Saint Cloud, MN - 563015869 |
Business Phone Number: | 3202594151 |
Business Fax Number: | 3202595707 |
Mailing Address: | 2835 W Saint Germain St, Suite 300 SAINT CLOUD |
State: | MN |
Postal Code: | 563015869 |
Phone Number: | 3202594151 |
Fax Number: | 3202595707 |
NPI Enumeration Date: | 05/22/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 1266 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |