MS. Thea Danielle Buckingham, LMT, LMP

NPI #1245372127 in Silverton, Oregon

Provider Information

NPI Number: 1245372127
Entity Type: Individual
Name: MS. Thea Danielle Buckingham, LMT, LMP
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT, LMP
Enumeration Date: Feb 13, 2007
Last Updated: Jun 21, 2011

Practice Location

Address: 306 OAK ST
City: Silverton
State: Oregon
ZIP Code: 97381-1719
Phone: (503) 873-3641

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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