Angela Marie Burchett, PTA

Individual provider Active NPI Physical Therapy Assistant · Kuttawa, KY

NPI 1942973375 · NPPES record last updated Jul 30, 2021

Key facts

NPI
1942973375
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
A01934 (KY)
Practice address
1253 Lake Barkley Dr
Kuttawa, KY 42055-6124
Phone
(270) 601-1155
NPI assigned
Jul 30, 2021
Sex
Female
Sole proprietor
No

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
A01934KYMDPhysical Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X A01934 KY Yes

Addresses

Primary practice location

1253 Lake Barkley Dr
Kuttawa, KY 42055-6124

Mailing address

517 Tinsley CRK
Eddyville, KY 42038-7520
Phone (270) 601-1155

Other providers in Kuttawa, KY

All providers in Kuttawa, KY · Physical Therapy Assistant in Kentucky

Sources for this page

Verify at the official NPI Registry.