Individual provider · Type 1 NPI

Tige Buckner

Rehabilitation Practitioner · Commerce, CA

NPI number 1295963577 Active

Practice location

6055 E Washington Blvd, Suite 900
Commerce, CA 90040-2449

Mailing address

8401 S Vermont Ave
Los Angeles, CA 90044-3423

Specialties and licenses

TaxonomyCodeLicense
Rehabilitation Practitioner Primary 225400000XNone listed

Rehabilitation Practitioner: A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

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About NPI 1295963577

Tige Buckner's National Provider Identifier is 1295963577, issued on Jun 25, 2009. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in Commerce, CA. The record was last updated on Jun 25, 2009.