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CARLYSSA SHINELLE BUCKNOR
NPI 1801649322
Massage Therapist in Orange Park, FL

Active since April 08, 2024
1801 WELLS RD STE 306, ORANGE PARK, FL 32073(904) 351-8530 Get Directions Write a Review

NPPES record last updated: April 8, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Carlyssa Shinelle Bucknor NPPES

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

CARLYSSA SHINELLE BUCKNOR (NPI 1801649322) is an individual massage therapist in Orange Park, Florida, licensed in Florida (MA63694) and active in the NPI registry since April 2024.

NPPES Registry Identity

NPI1801649322
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameCARLYSSA SHINELLE BUCKNOR
Location Address1801 WELLS RD STE 306Orange Park, FL 32073-2324
Mailing Address1801 Wells Rd Ste 306Orange Park, FL 32073-2324 · (754) 273-2883
Phone(904) 351-8530
Sole ProprietorNo
Enumeration DateApril 8, 2024
NPPES CertifiedApril 6, 2024
✔ NPI 1801649322 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
License✔ Licensed in FL · MA63694
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.
1801 WELLS RD STE 306, Orange Park, FL 32073
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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 Carlyssa Bucknor's NPI number?

The NPI number for Carlyssa Bucknor is 1801649322. It was assigned to this individual provider in the NPPES registry on April 8, 2024.

Where is Carlyssa Bucknor located?

Carlyssa Bucknor practices at 1801 Wells Rd Ste 306, Orange Park, FL 32073. The listed phone number is (904) 351-8530.

What is Carlyssa Bucknor'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 Carlyssa Bucknor was last updated on April 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.