Healthcare Provider Details
I. General information
NPI: 1881509529
Provider Name (Legal Business Name): R. BUCKLEY CHIROPRACTIC & REHABILITATION SERVICES, LLC DBA OPTIMUS INJURY TREATMENT CENTER
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/17/2026
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
834 S STATE ST
DOVER DE
19901-4148
US
IV. Provider business mailing address
834 S STATE ST
DOVER DE
19901-4148
US
V. Phone/Fax
- Phone: 302-688-5200
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ROBERT
BUCKLEY
Title or Position: PROVIDER
Credential: DC,DACRB
Phone: 302-688-5200