Individual
LUKE BURTNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
GEORGETOWN UNIVERSITY ATHLETIC DEPARTMENT, MCDONOUGH ARENA, WASHINGTON, DC 20057-0001
(202) 687-2362
Mailing address
5507 TRIN ST, ALEXANDRIA, VA 22310-1846
(717) 805-9407
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT005709
PA
Other
Enumeration date
12/13/2015
Last updated
12/13/2015
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