Individual
MARK T BURNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MT-BC, NMT
Contact information
Practice address
7347 DERBY LN, SHAKOPEE, MN 55379-7061
(612) 267-5109
Mailing address
7347 DERBY LN, SHAKOPEE, MN 55379-7061
(612) 267-5109
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
—
—
Other
Enumeration date
02/22/2011
Last updated
02/22/2011
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