MEDICARE: CALEY BURKHOUSE

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
1	225200000X	Physical Therapy Assistant	A04228	KY

General Provider Information

NPI Number	:	1659229037
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CALEY BURKHOUSE

Provider Business Mailing Address
First Line	:	691 PERSIMMON DR
Second Line	:
City	:	INDEPENDENCE
State	:	KY
Zip	:	41051-9260
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4603 TIMBER WALK CT
Second Line	:
City	:	LA GRANGE
State	:	KY
Zip	:	40031
Country	:	US
Telephone Number	:	703-575-8129
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/20/2026
Last Update Date	:	03/20/2026

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Directions to “ CALEY BURKHOUSE ” Practice Location

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