Doctor Name: | DR. PRESTON OWEN BUCKHOLZ |
NPI Number: | 1427063890 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.P.T. |
License Number: | PT00008534 |
Business Practice Address: | 8509 Steilacoom Blvd Sw Ste C Lakewood, WA - 984984786 |
Business Phone Number: | 2537225511 |
Business Fax Number: | 2537225496 |
Mailing Address: | Po Box 881360, STEILACOOM |
State: | WA |
Postal Code: | 983880410 |
Phone Number: | 2537225511 |
Fax Number: | 2537225496 |
NPI Enumeration Date: | 07/31/2006 |
NPI Last Update Date: | 05/29/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | PT00008534 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |