Organization
LARRY H. BURKS
Active
Organization
LARRY H. BURKS
Active
Other names
Putnam Physical Therapy Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LARRY HUGH BURKS PT (OWNER)
(931) 526-2345
Entity
Organization
Contact information
Practice address
1140 PERIMETER PARK DR, COOKEVILLE, TN 38501-0922
(931) 526-2345
(931) 528-1460
Mailing address
1140 PERIMETER PARK DR, COOKEVILLE, TN 38501-0922
(931) 526-2345
(931) 528-1460
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT0000000767
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0095650
BLUECROSS BLUESHIELD
TN
Enumeration date
11/21/2006
Last updated
04/17/2020
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