Individual
MRS. HEATHER LEIGH BURCHETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
31 DERICKSON LN, STANTON, KY 40380-2153
(606) 663-0435
Mailing address
605 JACANA CT, MT STERLING, KY 40353-8209
(606) 367-0519
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
004960
KY
Other
Enumeration date
07/03/2007
Last updated
07/08/2007
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