Shannon Marie Burkland
Individual provider Active NPI Physical Therapy Assistant · Fouke, AR
NPI 1255082863 · NPPES record last updated Jan 14, 2022
Key facts
- NPI
- 1255082863
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- Practice address
- 370 E Redcut
Fouke, AR 71837-8017 - Phone
- (870) 653-4165
- NPI assigned
- Jan 14, 2022
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | Yes |
Addresses
Primary practice location
370 E Redcut
Fouke, AR 71837-8017
Mailing address
13 Elmwood LN
Texarkana, TX 75501-8956
Phone (903) 278-5757
Other providers in Fouke, AR
- Darby LD Arnold
- Melanie Bellew
- Anna Claire Cree
- Donald S. Douglas, M.D.,
- Fouke School District
- Vanessa Kuykendall
- Kaitlin Malone
All providers in Fouke, AR · Physical Therapy Assistant in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 14, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.