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NPI Code Detail

MEDICARE: MS. HALEY CAMILLE BURKS PT, DPT

MEDICARE:  MS. HALEY CAMILLE BURKS  PT, DPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical TherapistPT31432FL

General Provider Information

NPI Number : 1023561743
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. HALEY CAMILLE BURKS PT, DPT
Provider Business Mailing Address
First Line : 1008 AIRPORT RD STE A
Second Line :
City : DESTIN
State : FL
Zip : 32541-2822
Country : US
Telephone Number : 817-797-0817
Fax Number :
Provider Business Practice Location Address
First Line : 1008 AIRPORT RD
Second Line :
City : DESTIN
State : FL
Zip : 32541-2823
Country : US
Telephone Number : 850-837-3349
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/28/2016
Last Update Date : 05/04/2026

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Directions to “ MS. HALEY CAMILLE BURKS PT, DPT” Practice Location

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