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

SHAWN LEE BURKE, PTA

Active

SHAWN LEE BURKE, PTA is a Occupational Therapist healthcare provider located in HAYDEN, Idaho. NPI 1154968139 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · HAYDEN, ID

Registration Details

NPI Number
1154968139
Provider Type
Individual
Gender
Male
NPI Issued
Dec 9, 2019 (6.636192252535 yrs)
Last Updated
Dec 9, 2019
License
PTA-097 (ID)

Practice Information

Address
827 W PRAIRIE AVE
HAYDEN, ID, 838358459
Browse ID providers · Browse ZIP 83835
Phone
2086609378
Primary Specialty
Occupational Therapist
225200000X
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.