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NPI Code Detail

MEDICARE: MRS. KATE MARIE BURKE PT

MEDICARE: MRS. KATE MARIE BURKE PT
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 Therapist1900NV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1831181577
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KATE MARIE BURKE PT
Provider Business Mailing Address
First Line : 3831 W CHARLESTON BLVD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89102-1859
Country : US
Telephone Number : 702-876-1733
Fax Number : 702-878-2018
Provider Business Practice Location Address
First Line : 2021 GUADALUPE ST
Second Line :
City : AUSTIN
State : TX
Zip : 78705-5654
Country : US
Telephone Number : 512-233-6328
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/18/2005
Last Update Date : 03/26/2025

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Directions to “ MRS. KATE MARIE BURKE PT” Practice Location

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