Male or Other

Mr. Gregory D. Buchanan LMT

Massage Therapist in Merrillville, IN(View on Map)

Full Name

Mr. Gregory D Buchanan LMT

NPI Number

1114638434

NPI Type

Individual Provider

Gender

Male

Enumeration Date

12/07/2022

Specialties

(Taxonomies)

Code

225700000X

Primary Taxonomy

Yes

Licenses

State

Indiana

License Number

MT20901901

Contact
Information

Purpose

Mailing
Location

Address

400 N LAKE PARK AVE APT E4S
1649 E 80TH AVE STE 407

City

Hobart
Merrillville

State

IN
IN

Postal Code

46342-3026
46410-5737

Country

US
US

Telephone Number

(219) 805-4155
(219) 614-2777

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 12/07/2022

Provider Address

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