Doctor Name: | MRS. EVE A BUCKLEY |
NPI Number: | 1962779207 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | L.M.T. |
License Number: | 018549 |
Business Practice Address: | 6385 Route 96 210 Phoenix Mills Plaza Victor, NY - 145641411 |
Business Phone Number: | 5859243332 |
Business Fax Number: | 5859245349 |
Mailing Address: | 6385 Route 96, 210 Phoenix Mills Plaza VICTOR |
State: | NY |
Postal Code: | 145641411 |
Phone Number: | 5859243332 |
Fax Number: | 5859245349 |
NPI Enumeration Date: | 11/30/2011 |
NPI Last Update Date: | 11/30/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | 018549 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Massage Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |