Male or Other

Mr. Michael A. Burnett LMT

Massage Therapist in Nome, AK(View on Map)

Full Name

Mr. Michael Anthony Burnett LMT

NPI Number

1871832824

NPI Type

Individual Provider

Gender

Male

Enumeration Date

02/12/2013

Specialties

(Taxonomies)

Code

225700000X
172M00000X

Primary Taxonomy

Yes
No

Licenses

State

Alaska
Pennsylvania

License Number

101402
MSG004224

Contact
Information

Purpose

Mailing
Location

Address

105 BIERER LN
309 BERING ST.

City

Uniontown
Nome

State

PA
AK

Postal Code

15401-3117
99762-1809

Country

US
US

Telephone Number

(724) 439-1088
(907) 434-2121

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 08/19/2019

Provider Address

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