Individual
GREG T BURNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BSPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT00008306
WA
225100000X
Physical Therapist
Primary
PT02476
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
142702
DEPT OF LABOR & INDUSTRIE
WA
01
—
4423BU
REGENCE BLUE SHIELD
WA
01
—
650019911
RAILROAD MEDICARE
WA
05
—
8334492
—
WA
01
—
8935159
CRIME VICTIMS
WA
Enumeration date
04/28/2006
Last updated
12/09/2025
Update your record
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