Provider Demographics
NPI:1952076192
Name:BUCK, SHAERNA CATHRINA (MPT)
Entity Type:Individual
Prefix:MRS
First Name:SHAERNA
Middle Name:CATHRINA
Last Name:BUCK
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:
Other - First Name:SHAERNA
Other - Middle Name:CATHRINA
Other - Last Name:BEECH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MPT
Mailing Address - Street 1:432 3RD ST
Mailing Address - Street 2:
Mailing Address - City:LANGLEY
Mailing Address - State:WA
Mailing Address - Zip Code:98260
Mailing Address - Country:US
Mailing Address - Phone:360-321-4434
Mailing Address - Fax:360-321-4432
Practice Address - Street 1:432 3RD ST
Practice Address - Street 2:
Practice Address - City:LANGLEY
Practice Address - State:WA
Practice Address - Zip Code:98260
Practice Address - Country:US
Practice Address - Phone:360-321-4434
Practice Address - Fax:360-321-4432
Is Sole Proprietor?:No
Enumeration Date:2021-08-10
Last Update Date:2021-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT00009076225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist