Provider Demographics
NPI:1912127044
Name:BUCKHEIT, KRICIA ROGALA (MS PT)
Entity Type:Individual
Prefix:MRS
First Name:KRICIA
Middle Name:ROGALA
Last Name:BUCKHEIT
Suffix:
Gender:F
Credentials:MS PT
Other - Prefix:
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Mailing Address - Street 1:103 WOODED EAGLE COURT
Mailing Address - Street 2:
Mailing Address - City:EXTON
Mailing Address - State:PA
Mailing Address - Zip Code:19341-3026
Mailing Address - Country:US
Mailing Address - Phone:610-594-2768
Mailing Address - Fax:
Practice Address - Street 1:915 LINCOLN AVENUE
Practice Address - Street 2:FERN HILL ELEMENTARY SCHOOL
Practice Address - City:WEST CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19380
Practice Address - Country:US
Practice Address - Phone:484-266-1600
Practice Address - Fax:484-266-1699
Is Sole Proprietor?:No
Enumeration Date:2007-04-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAPT001224E225100000X
CT002556225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist