Individual
DR. TYLER BURKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
3100 CHANNING WAY, IDAHO FALLS, ID 83404-7533
(208) 529-7665
Mailing address
6700 ANTIOCH RD STE 120, MERRIAM, KS 66204-1200
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-3529
ID
Other
Enumeration date
07/09/2014
Last updated
10/23/2020
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