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DEIDRE M BUCKINGHAM PTA, LMT
NPI 1164582771
Massage Therapist in Madison, WI

Active since December 12, 2006
1915 WINNEBAGO ST, MADISON, WI 53704(608) 301-5717(608) 200-3270 Get Directions Write a Review

NPPES record last updated: August 18, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Deidre M Buckingham Pta, Lmt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEIDRE M BUCKINGHAM PTA, LMT (NPI 1164582771) is an individual massage therapist in Madison, Wisconsin, licensed in Wisconsin (724-146) and active in the NPI registry since December 2006. She maintains a secondary practice location in Madison.

NPPES Registry Identity

NPI1164582771
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameDEIDRE M BUCKINGHAMCredential: PTA, LMT
Location Address1915 WINNEBAGO STMadison, WI 53704-5305
Mailing Address727 Saint Johns AveMilton, WI 53563-1692 · (608) 332-1032 · Fax (608) 200-3270
Phone(608) 301-5717
Fax(608) 200-3270
Sole ProprietorYes
Enumeration DateDecember 12, 2006
Last NPPES UpdateAugust 18, 2021
NPPES CertifiedMarch 25, 2021
✔ NPI 1164582771 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
License✔ Licensed in WI · 724-146
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
Also ListedPhysical Therapy AssistantTaxonomy 225200000X · License 1353-019 (WI)
1915 WINNEBAGO ST, Madison, WI 53704
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Secondary Practice Location 1

Location 14602 East Park Boulevard East Wing Mail Code Ac10Madison, WI 53792-0001 · Phone (608) 262-9355

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. THEODORE AARON WEEK D.C.
Chiropractor
1915 WINNEBAGO ST
MADISON, WI 53704
Dane County (608) 241-3233
T.A. WEEK D.C. LLC
Chiropractor
1915 WINNEBAGO ST
MADISON, WI 53704
Dane County (608) 241-3233

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Deidre Buckingham's NPI number?

The NPI number for Deidre Buckingham is 1164582771. It was assigned to this individual provider in the NPPES registry on December 12, 2006.

Where is Deidre Buckingham located?

Deidre Buckingham practices at 1915 Winnebago St, Madison, WI 53704. The listed phone number is (608) 301-5717.

What is Deidre Buckingham's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Deidre Buckingham was last updated on August 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.