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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JONATHAN LYLE BURLINGAME

Active

Physical Therapy Assistant · PARK RAPIDS, MN

Registration Details

NPI Number
1093382707
Provider Type
Individual
Gender
Male
NPI Issued
Jun 10, 2021 (4.914273561232 yrs)
Last Updated
Jan 29, 2024
License
12214 (MN)

Practice Information

Address
1006 CROCUS HILL ST E
PARK RAPIDS, MN, 564705419
Browse MN providers · Browse ZIP 56470
Phone
2183668469
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in PARK RAPIDS, MN

Name Credential NPI
MRS. MEGAN DANA BOLLINGER PT 1467527267
CLIFFORD W LAFRENIERE PT 1316014970
JONATHON R PETERSON PT 1003008525
PAULA MARIE VIGEN 1376736090
CORINNA PRESTEGARD PT 1891963153
MIHAELA MICHELLE SOLIEN P.T. 1770759383
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.