Healthcare Provider Details
I. General information
NPI: 1457635955
Provider Name (Legal Business Name): LINDSEY MEGHAN BUCHES-CANN DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 10/03/2011
Last Update Date: 09/19/2024
Certification Date: 09/18/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
800 PLAZA DR STE 240
BELLE VERNON PA
15012-4019
US
IV. Provider business mailing address
800 PLAZA DR STE 240
BELLE VERNON PA
15012-4019
US
V. Phone/Fax
- Phone: 724-379-5816
- Fax: 724-379-5874
- Phone: 724-379-5816
- Fax: 724-379-5874
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 225100000X |
| Taxonomy | Physical Therapist |
| License Number | DAPT002889 |
| License Number State | PA |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225100000X |
| Taxonomy | Physical Therapist |
| License Number | PT021675 |
| License Number State | PA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: