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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DEIDRE M BUCKINGHAM, PTA, LMT

Active Sole Proprietor

DEIDRE M BUCKINGHAM, PTA, LMT is a Massage Therapist healthcare provider located in MADISON, Wisconsin. NPI 1164582771 is currently active in the NPPES registry. Verify at CMS.

Massage Therapist · MADISON, WI

Registration Details

NPI Number
1164582771
Provider Type
Individual
Gender
Female
NPI Issued
Dec 12, 2006 (19.629058872539 yrs)
Last Updated
Aug 18, 2021
Licenses
1353-019 (WI)
724-146 (WI)
Sole Proprietor
Yes

Practice Information

Address
1915 WINNEBAGO ST
MADISON, WI, 537045305
Browse WI providers · Browse ZIP 53704
Phone
6083015717
Fax
6082003270
Primary Specialty
Massage Therapist
225700000X
Additional Specialty
Massage Therapist

Other Massage Therapist Providers in MADISON, WI

Name Credential NPI
RICHARD E COMELLO CMT 1710071014
JOHN ROBERT SANTIAGO 1649404427
MS. CYNDI S FINE CBW 1639458714
MS. HELENE GABRIELLE OLEJNICZAK-LADEN 1609147875
MARGARET JEAN STRATTON 1659644573
LISA SUE RESCH 1427321355
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.