Individual
KELLY JO BURTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
303 N HURSTBOURNE PKWY STE 200, LOUISVILLE, KY 40222-5158
(502) 412-5847
Mailing address
4820 HOWELL ST, GOLDEN, CO 80403-1750
(130) 385-6898
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
00014943
CO
Other
Enumeration date
07/19/2021
Last updated
07/19/2021
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