Individual
ANGELA MARIE BURCHETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1253 LAKE BARKLEY DR, KUTTAWA, KY 42055-6124
(270) 601-1155
Mailing address
517 TINSLEY CRK, EDDYVILLE, KY 42038-7520
(270) 601-1155
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A01934
KY
Other
Enumeration date
07/30/2021
Last updated
07/30/2021
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