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

MRS. MYRA MARIE BURKHARDT, PT

Active Sole Proprietor

MRS. MYRA MARIE BURKHARDT, PT is a Physical Therapy Assistant healthcare provider located in WEST SALEM, Wisconsin. NPI 1992813117 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · WEST SALEM, WI

Registration Details

NPI Number
1992813117
Provider Type
Individual
Gender
Female
NPI Issued
Aug 28, 2006 (19.935394796057 yrs)
Last Updated
Jul 9, 2007
Licenses
3650-024 (WI)
5722 (MN)
Sole Proprietor
Yes

Practice Information

Address
1540 HERITAGE BLVD
SUITE 101A
WEST SALEM, WI, 546691417
Browse WI providers · Browse ZIP 54669
Phone
6087864989
Fax
6087862321
Primary Specialty
Physical Therapy Assistant
225100000X
Additional Specialty
Physical Therapy Assistant

Other Physical Therapy Assistant Providers in WEST SALEM, WI

Name Credential NPI
KAREN J BONIFAS PT 1073676078
SAM ADAM MASON DPT 1073177705
MS. MELANIE ROSE MASKE 1538727995
DR. ALYSSA KAY CHMIELEWSKI DPT 1053985531
LAUREN RENEE HARDING PT 1316517659
ANNA LUCHT 1114590221
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.