Individual
BREANNA BURCHETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
815 S WALNUT AVE, COOKEVILLE, TN 38501-5956
(931) 528-5516
Mailing address
4641 N QUINLAND LAKE RD, COOKEVILLE, TN 38506-7389
(931) 261-4592
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
6569
TN
Other
Enumeration date
07/16/2018
Last updated
07/16/2018
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