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Deidre Buckingham, PTA, LMT
NPI 1164582771 · on the registry since 2006 · sole proprietor
Practice
- Address
- 1915 Winnebago St
Madison, WI 53704 - Phone
- (608) 301-5717
- Fax
- (608) 200-3270
- Organisation at this address
- T.A. Week D.C. Llc
Creating Space, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 3
Additional practice sites
- 4602 East Park Boulevard East Wing Mail Code Ac10, Madison, WI
Registry record
- Primary taxonomy
- Massage Therapist
225700000X
- Also registered as
- Physical Therapy Assistant
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-08-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin