MEDICARE: KARI BURGOYNE 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
1	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1881143584
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KARI BURGOYNE DPT

Provider Business Mailing Address
First Line	:	1101 OHIO DR STE 110
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75093-5331
Country	:	US
Telephone Number	:	972-985-2622
Fax Number	:	972-985-2630

Provider Business Practice Location Address
First Line	:	1101 OHIO DR STE 110
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75093-5331
Country	:	US
Telephone Number	:	972-985-2622
Fax Number	:	972-985-2630

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

Provider Enumeration Date	:	09/23/2016
Last Update Date	:	01/21/2024

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Directions to “ KARI BURGOYNE DPT” Practice Location

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