DEREK BUCKNER

SALT LAKE CITY, UT
NPI1659019222
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: UT  126968152401)
Enumeration Date2022-05-24
Last Update Date2022-05-24
Business Address
DEREK BUCKNER PT
E EIGHTH AVE & C ST
SALT LAKE CITY, UT 84143-0001
Phone number: 801-408-1100
Mailing Address
DEREK BUCKNER PT
5341 JULIE ANN PL
HIGHLAND, UT 84003-3624
Phone number: