Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ROGER LEE BURTRAW III, PT
ActiveROGER LEE BURTRAW III, PT is a Physical Therapy Assistant healthcare provider located in SHOREVIEW, Minnesota. NPI 1588062988 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · SHOREVIEW, MN
Registration Details
- NPI Number
- 1588062988
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 17, 2014 (11.63240234405 yrs)
- Last Updated
- Feb 12, 2018
- License
-
9863 (MN)
Practice Information
- Address
-
4570 CHURCHILL ST STE 300SHOREVIEW, MN, 551262274Browse MN providers · Browse ZIP 55126
- Phone
- 6514811071
- Fax
- 6514810042
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in SHOREVIEW, MN
| Name | Credential | NPI |
|---|---|---|
| MRS. ERIN FISHER BLACKFORD | PT | 1700990504 |
| KELLY LYNNE ROBERTS | DPT | 1215041025 |
| JAMES ROBERT OLSON JR. | PT ATC | 1396859112 |
| CAROL GILLIGAN | PT | 1053436089 |
| MS. MEGAN KARI FROST | P.T. | 1629287388 |
| KATHERINE ELIZABETH LAZENBY | PT | 1598967390 |
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.