Individual
KODY BURKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
10133 SHERRILL BLVD, KNOXVILLE, TN 37932-3347
(888) 531-2204
Mailing address
295 LAKENHEATH DR, BLOUNTVILLE, TN 37617-4255
(423) 218-6698
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
8620
TN
Other
Enumeration date
06/11/2024
Last updated
06/11/2024
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