Individual
MR. MICHAEL ANTHONY BURNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
309 BERING ST., #1809, NOME, AK 99762-1809
(907) 434-2121
Mailing address
105 BIERER LN, UPPER LEVEL, UNIONTOWN, PA 15401-3117
(724) 439-1088
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
MSG004224
PA
225700000X
Massage Therapist
Primary
101402
AK
Other
Enumeration date
02/12/2013
Last updated
08/19/2019
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