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NPI Code Detail

MEDICARE: MRS. BETT ELAINE BURNS LPTA

MEDICARE: MRS. BETT ELAINE BURNS LPTA
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
1225200000XPhysical Therapy AssistantPTA669TN

General Provider Information

NPI Number : 1649362674
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. BETT ELAINE BURNS LPTA
Provider Business Mailing Address
First Line : 75 GROVE RD
Second Line :
City : COLLIERVILLE
State : TN
Zip : 38017-4303
Country : US
Telephone Number : 901-850-2088
Fax Number :
Provider Business Practice Location Address
First Line : 308 LAKE DR
Second Line :
City : SOMERVILLE
State : TN
Zip : 38068-9716
Country : US
Telephone Number : 901-465-9861
Fax Number : 901-465-9897
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/28/2006
Last Update Date : 07/08/2007

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