Individual
MANDY JO BURNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT, ATC
Contact information
Practice address
32 E MAIN ST, MARSHALLTOWN, IA 50158-4903
(641) 753-6636
(641) 753-1005
Mailing address
PO BOX 474, 32 E MAIN ST, MARSHALLTOWN, IA 50158-0474
(641) 753-6636
(641) 753-1005
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
03707
IA
2255A2300X
Athletic Trainer
00402
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0456491
—
IA
01
—
37162
BLUE CROSS BLUE SHIELD
IA
Enumeration date
01/24/2006
Last updated
03/18/2009
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