Individual
NICHOLAS BURKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
50 N MEDICAL DR, SALT LAKE CITY, UT 84132-0001
(801) 587-3422
Mailing address
765 E 400 S APT 322, SALT LAKE CITY, UT 84102-3678
(330) 703-3613
Taxonomy
Speciality
Code
Description
License number
State
2251N0400X
Neurology Physical Therapist
Primary
108617852401
UT
Other
Enumeration date
08/18/2018
Last updated
12/03/2021
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