Sharon Renee Burton, PTA

Individual provider Active NPI Physical Therapy Assistant · Magee, MS

NPI 1497979520 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1497979520
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
PTA3320 (MS)
Practice address
301 2ND St SE
Magee, MS 39111-3625
Phone
(601) 849-9882
Fax
(601) 849-9871
NPI assigned
Apr 12, 2007
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

State licenses

LicenseStateTypeSpecialty
PTA3320MSMDPhysical Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X PTA3320 MS Yes

Addresses

Primary practice location

301 2ND St SE
Magee, MS 39111-3625

Mailing address

567 Smith County Road 83-a
Mize, MS 39116
Phone (601) 733-0033

Other names

  • Mrs. Sharon Renee Burton Professional name

Other providers in Magee, MS

All providers in Magee, MS · Physical Therapy Assistant in Mississippi

Sources for this page

Verify at the official NPI Registry.