Active NPI
Elizabeth Martina Buck, LMT
- Massage Therapist
- Jonesboro, AR
National Provider Identifier
1316263965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 8393
- Practice address
- 2010 Fair Park Blvd
Suite F
Jonesboro, AR 72401 - Phone
- (870) 931-3689
- NPI assigned
- Apr 7, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 8393 | AR | Primary |
Addresses
Primary practice location
2010 Fair Park Blvd
Suite F
Jonesboro, AR 72401
Mailing address
627 W Court St
Paragould, AR 72450-4248
Phone (425) 367-1365
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8393 | AR | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1270598400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556150400000",
"number": "1316263965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "627 W COURT ST",
"city": "PARAGOULD",
"state": "AR",
"postal_code": "724504248",
"telephone_number": "425-367-1365"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2010 FAIR PARK BLVD",
"address_2": "SUITE F",
"city": "JONESBORO",
"state": "AR",
"postal_code": "72401",
"telephone_number": "870-931-3689"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUCK",
"first_name": "ELIZABETH",
"middle_name": "MARTINA",
"name_prefix": "Ms.",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-04-07",
"last_updated": "2019-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "AR",
"license": "8393",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jonesboro, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.