Individual
MRS. TARA ELAINE BURT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
7900 AIRWAYS BLVD. BUILDING A, SUITE 2, SOUTHAVEN, MS 38671
(662) 536-4096
(662) 536-4099
Mailing address
7900 AIRWAYS BLVD. BUILDING A, SUITE 2, SOUTHAVEN, MS 38671
(662) 536-4096
(662) 536-4099
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5706
MS
Other
Enumeration date
10/02/2015
Last updated
10/03/2023
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