Individual
MRS. KIM M BURKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
7110 JORDAN DR., RAPID CITY, SD 57702
(605) 342-4412
(605) 342-4211
Mailing address
7110 JORDAN DR., RAPID CITY, SD 57702
(605) 342-4412
(605) 342-4211
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1316
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1316
LICENSE
SD
05
—
5838202
—
SD
Enumeration date
08/16/2006
Last updated
11/15/2010
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