IndividualActive
Johanna Buck, MS, PT
NPI 1396898441 · Pediatric Physical Therapist · Medford, OR
Provider details
- NPI number
- 1396898441
- Entity type
- Individual
- Primary specialty
- Pediatric Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- MS, PT
- Sex
- Female
- Sole proprietor
- No
- License
- 05897 (OR)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
400 Crater Lake Ave
Medford, OR 97504-6808
Phone: (541) 613-6505
Fax: (541) 770-9212
Approximate (ZIP-level) locationGet directions
Mailing address
400 Crater Lake Ave
Medford, OR 97504-6808
Registry dates
- Enumerated
- 2007-01-20
- Last updated
- 2019-02-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.